Individual
MS. JEWELL C SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 GARFIELD AVE, HYDE PARK, MA 02136-3313
(857) 258-4521
Mailing address
225 GARFIELD AVE, HYDE PARK, MA 02136-3313
(857) 258-4521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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