Individual
KERRY LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 RIVER RD, DEEP RIVER, CT 06417-2117
(860) 391-3647
(860) 388-9656
Mailing address
37 RIVER RD, DEEP RIVER, CT 06417-2117
(860) 391-3647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004428
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/24/2018
Last updated
12/30/2021
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