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Individual

ALEXA LYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
50 ALDRIN RD, PLYMOUTH, MA 02360-4827
(508) 830-0000
Mailing address
89 ROUTE 130, FORESTDALE, MA 02644-1107

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S78684806
MA

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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