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Individual
MR. BRENT SMITH
Active
Individual
MR. BRENT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH20433
FL
251C00000X
Developmentally Disabled Services Day Training Agency
1164581633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116458163
SEMINOLE MENTAL HEALTH
FL
Enumeration date
05/15/2007
Last updated
12/11/2023
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