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Individual
MR. LE' ROY SMITH JR.
Active
Individual
MR. LE' ROY SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60821074
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2018
Last updated
01/07/2020
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