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Individual

MISS BETTY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1460 PINE ST, SAN FRANCISCO, CA 94109-4720
(415) 202-0850
Mailing address
5300 COLE ST, OAKLAND, CA 94601-5563
(510) 261-4045

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/09/2007
Last updated
11/16/2007
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