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Individual

DOUGLAS JAY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
11670 OLD NATIONAL PIKE STE 103, NEW MARKET, MD 21774-6123
(301) 865-2226
(301) 865-6720
Mailing address
1211 STREAKER RD, SYKESVILLE, MD 21784-8704
(301) 233-3485

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP12359
MD

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
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