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Individual

SANDRA GALLIANI SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
610 E DIAMOND AVE, SUITE 100, GAITHERSBURG, MD 20877-5321
(301) 840-3200
(301) 840-1348
Mailing address
610 EAST DIAMOND AVENUE, SUITE 100, GAITHERSBURG, MD 20877
(301) 840-3200
(301) 840-1348

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3697
MD
101YP2500X
Professional Counselor
LGP2978
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
816700100
MD
Enumeration date
12/02/2008
Last updated
11/04/2010
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