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Individual
CAROLYN P SMITH
Active
Individual
CAROLYN P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001023A
IN
1041C0700X
Clinical Social Worker
33002720A
IN
106H00000X
Marriage & Family Therapist
35001143A
IN
Other
Enumeration date
08/29/2006
Last updated
10/21/2014
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