Individual
JULIE CHANNELL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
310 BELLEVUE AVE, HAMMONTON, NJ 08037-1929
(609) 561-7911
Mailing address
PO BOX 1086, PLEASANTVILLE, NJ 08232-6086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05285600
NJ
Other
Enumeration date
11/09/2006
Last updated
03/25/2008
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