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Individual
CRAIG SMITH
Active
Individual
CRAIG SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000331
VT
1041C0700X
Clinical Social Worker
Primary
089.0062986
VT
Other
Enumeration date
12/14/2006
Last updated
06/03/2022
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