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Individual

MR. DAVID EARL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REV

Contact information

Practice address
2841 NYS ROUTE 73 STE 73, KEENE, NY 12942-9998
(518) 576-4557
(518) 576-9713
Mailing address
PO BOX 305, WILLSBORO, NY 12996-0305
(518) 963-7924
(518) 963-7931

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
04/30/2007
Last updated
07/08/2007
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