Individual
MR. ALAN P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2588 ADDINGTON CIR, ROCKLEDGE, FL 32955-6509
(321) 757-4030
(321) 369-9836
Mailing address
7777 N. WICKHAM ROAD, SUITE 12 PMB 501, MELBOURNE, FL 32940-7522
(321) 757-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C008703
NC
1041C0700X
Clinical Social Worker
R040648-1
NY
1041C0700X
Clinical Social Worker
Primary
SW12016
FL
Other
Enumeration date
08/22/2006
Last updated
12/27/2021
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