Individual
JULIA MARGARET SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 724-8400
Mailing address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043544836
—
MA
Enumeration date
09/25/2009
Last updated
03/17/2018
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