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Individual

MR. LARRY LEROY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LCMHC, NCC, CCI

Contact information

Practice address
490 N 500 E, AMERICAN FORK, UT 84003-1872
(801) 592-1628
Mailing address
490 N 500 E, AMERICAN FORK, UT 84003-1872
(801) 592-1628

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7835696-6004
UT

Other

Enumeration date
12/16/2015
Last updated
12/16/2015
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