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Individual

MR. JAMES WILSON SMITH JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 215-9288
(727) 724-9705
Mailing address
PO BOX 651, SAFETY HARBOR, FL 34695-0651
(727) 215-9288
(727) 724-9705

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MA0011524
FL

Other

Enumeration date
11/11/2005
Last updated
07/08/2007
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