Individual
COURTNEY BLAKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
12 HAMLIN ST UNIT 1, CAMBRIDGE, MA 02141-1910
(203) 561-1165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW2140968
MA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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