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Individual
MRS. ELISA MANTEL-SMITH
Active
Individual
MRS. ELISA MANTEL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R052448
NY
1041C0700X
Clinical Social Worker
Primary
R052448-1
NY
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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