Individual
MAXINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1001 LAWRENCE ST NE, WASHINGTON, DC 20017-3513
(202) 321-3807
Mailing address
PO BOX 604, UPPER MARLBORO, MD 20773-0604
(240) 708-0886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50082638
DC
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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