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Individual

MISS ASHTON LARAE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1885 LUNDY AVE, SUITE 223, SAN JOSE, CA 95131-1887
(408) 248-9010
Mailing address
825 VIA CASTANA CT, MORGAN HILL, CA 95037-5851
(408) 807-6659

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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