Individual
MISS BROOKE KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15 FORTUNE ROAD, WEST MIDDLETOWN, NY 10941
(845) 692-4454
Mailing address
4138 ROUTE 52, HOLMES, NY 12531-5109
(845) 519-4111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
097180
NY
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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