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Individual
MS. CORETHA DENISE SMITH
Active
Individual
MS. CORETHA DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED ADDICTION
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0025
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
007
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5030
FL
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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