Individual
SHAMIKA LATESHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(350) 086-0793
Mailing address
191 PALM ST, HARTFORD, CT 06112-1359
(860) 888-5098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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