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Individual

MR. JAMES LARRY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., L.P.

Contact information

Practice address
724 FIRST AVE. SW, STE 2, ROCHESTER, MN 55902-3356
(507) 252-5497
(507) 252-5497
Mailing address
732 37TH ST SW, ROCHESTER, MN 55902-1282
(507) 288-7958
(507) 252-5497

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MN LP 0653
MN

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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