Individual
MRS. TRACY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
152 WASHINGTON AVE, MATAWAN, NJ 07747-2946
(732) 668-2064
Mailing address
152 WASHINGTON AVE, MATAWAN, NJ 07747-2946
(732) 668-2064
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37PC00410000
NJ
Other
Enumeration date
12/06/2010
Last updated
03/08/2021
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