Individual
CARLA P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5002 JUDICIAL WAY, FREDERICK, MD 21703-4807
(404) 482-3161
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(404) 482-3161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005381
GA
106H00000X
Marriage & Family Therapist
MFT001383
GA
Other
Enumeration date
02/10/2015
Last updated
02/23/2024
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