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1972109536
MARY ELLEN ELLEN SMITH
CHICO, CA
NPI
1972109536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
MARY ELLEN ELLEN SMITH MAT FAC
95 DECLARATION DR STE 4
CHICO, CA 95973-4916
Phone number: 530-965-5918
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Mailing Address
MARY ELLEN ELLEN SMITH MAT FAC
95 DECLARATION DR STE 4
CHICO, CA 95973-4916
Phone number: 530-965-5918
Copy
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