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Individual
MR. EDWARD LYNN SMITH
Active
Individual
MR. EDWARD LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LMHC CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP1405
FL
101YM0800X
Mental Health Counselor
Primary
MH2805
FL
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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