Individual
TISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(774) 456-6773
Mailing address
57 ALLEN ST, NEW BEDFORD, MA 02740-4835
(774) 992-8897
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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