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Individual

MACEY EMMA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
42 GARDEN ST, WETHERSFIELD, CT 06109-3117
(860) 966-9050
Mailing address
42 GARDEN ST, WETHERSFIELD, CT 06109-3117
(860) 966-9050

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
48.006550

Other

Enumeration date
12/13/2024
Last updated
12/13/2024
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