Individual
MS. KELLY LYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4 BICENTENNIAL SQUARE, SUITE 3B, CONCORD, NH 03301
(603) 491-9244
Mailing address
PO BOX 4029, CONCORD, NH 03302
(603) 491-9244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1179
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30422542
—
NH
Enumeration date
04/18/2007
Last updated
07/08/2007
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