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Individual

AMY ANNMARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
219 N INDIAN HILL BLVD STE 202A, CLAREMONT, CA 91711-4644
(909) 973-8915
Mailing address
219 N INDIAN HILL BLVD STE 202A, CLAREMONT, CA 91711-4644
(909) 973-8915

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95-1946482
CA
Enumeration date
10/02/2008
Last updated
10/14/2021
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