Organization
JWSMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA SMITH LCSWC (CLINICAL SOCIAL WORKER)
(240) 375-6440
Entity
Organization
Contact information
Practice address
13005 MARTHAS CHOICE CIR, BOWIE, MD 20720-4704
(240) 375-6440
Mailing address
13005 MARTHAS CHOICE CIR, BOWIE, MD 20720-4704
(240) 375-6440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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