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Individual
MRS. THERESA M SMITH
Active
Individual
MRS. THERESA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S ED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1138706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1138706
NYS TEACHER CERTIFICATION
NY
Enumeration date
03/12/2013
Last updated
03/12/2013
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