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1992579403
CARLY D SMART
MERIDIAN, ID
NPI
1992579403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LMSW-44344)
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
CARLY D SMART LMSW
2335 E STATE AVE
MERIDIAN, ID 83642-8808
Phone number: 208-672-1801
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Mailing Address
CARLY D SMART LMSW
1650 S TOPAZ WAY
MERIDIAN, ID 83642-4474
Phone number: 208-605-7070
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