Individual
JANE DANETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MULBERRY STREET, PHOENIX HOUSE, SPRINGFIELD, MA 01105
(413) 739-1087
Mailing address
135 HARTLAND ST, HARTFORD, CT 06112-1131
(860) 670-0955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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