Individual
ANN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7644
(315) 426-7641
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-7644
(315) 426-7641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088016-1
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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