Individual
COURTNEY RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 PIERREPONT PLZ STE 901, BROOKLYN, NY 11201-2828
(212) 529-6445
Mailing address
103 DOROTHY DR, EAST MEADOW, NY 11554-1117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
08/13/2021
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