Provider Information for 1891352761
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ERIC N SMITH LSW, MSW
Sex: Male
NPI: 1891352761
Last Updated: 2022-08-16
Certification Date: 2022-08-16
Certification Date: 2022-08-16
Details
Name | Value | ||||||||||||
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NPI | 1891352761 | ||||||||||||
Enumeration Date | 2019-05-24 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 4856 INNOVATION DR STE B FORT COLLINS, CO 80525-5540 United States Phone: 970-494-4200 | Fax:970-613-4475 | ||||||||||||
Primary Practice Address | 1250 N WILSON AVE LOVELAND, CO 80537-4461 United States Phone: 970-494-4200 | Fax:970-613-4475 | ||||||||||||
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