Individual
NICOLE DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
37 MAIN STREET, SUITE 5 / ALLEY, CLINTON, NJ 08809
(908) 642-8509
Mailing address
37 MAIN STREET, SUITE 5 / ALLEY, CLINTON, NJ 08809
(908) 642-8509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00329700
NJ
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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