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1972970572
KIM MARIE SMITH
GREEN BAY, WI
NPI
1972970572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 5778-125)
Enumeration Date
2015-08-31
Last Update Date
2019-10-14
Business Address
KIM MARIE SMITH LPC
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301-2241
Phone number: 920-433-6073
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Mailing Address
KIM MARIE SMITH LPC
PO BOX 22040
GREEN BAY, WI 54305-2040
Phone number: 920-445-7222
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