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Individual
MELINDA FOX SMITH
Active
Individual
MELINDA FOX SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCAP, MAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-011996-2015
FL
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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