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Individual
MR. LARRY L. SMITH
Active
Individual
MR. LARRY L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AAPS CERTIFICATION
KS
1041C0700X
Clinical Social Worker
Primary
4190
KS
1041C0700X
Clinical Social Worker
—
KS
Other
Enumeration date
07/21/2008
Last updated
04/11/2022
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