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Individual
WANDA SMITH
Active
Individual
WANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC50078182
DC
1041C0700X
Clinical Social Worker
Primary
13075
MD
1041C0700X
Clinical Social Worker
LC50078182
DC
Other
Enumeration date
08/04/2015
Last updated
02/12/2025
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