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1952604050
ROGER DALE SMYTHE
SACRAMENTO, CA
NPI
1952604050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-10
Last Update Date
2010-12-10
Business Address
-- ROGER DALE SMYTHE
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Phone number: 916-442-4985
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Mailing Address
-- ROGER DALE SMYTHE
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Phone number: 916-442-4985
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