Individual
MS. ALYSSA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 PARK ST, BEVERLY, MA 01915-3257
(978) 873-4918
Mailing address
149 PARK ST, BEVERLY, MA 01915-3257
(978) 873-4918
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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