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Organization
NICOLE SMITH IRRV TR 08012010
Active
Organization
NICOLE SMITH IRRV TR 08012010
Active
Other names
Experience Abundance
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SMITH (MANAGEMENT)
(856) 301-9997
Entity
Organization
Contact information
Practice address
420 PRAIRIE RUN, ALEDO, TX 76008-1170
(760) 676-0085
Mailing address
8 LOGAN DR, CHERRY HILL, NJ 08034-1734
(856) 301-9997
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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