Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2 CORPORATION WAY STE 260, PEABODY, MA 01960-7932
(978) 531-2904
(978) 531-2909
Mailing address
2 CORPORATION WAY STE 260, PEABODY, MA 01960-7932
(978) 531-2904
(978) 531-2909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116913
MA
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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