Individual
VANESSA DONELLAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(000) 000-0000
Mailing address
2503 HERBERT DR, NORTHFIELD, NJ 08225-1403
(609) 457-7978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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