Individual
JUDITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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