Individual
EDMOND D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604
(508) 849-5600
Mailing address
70 PERRY ST., #135, PUTNAM, CT 06260
(508) 320-4157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2026127
MA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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