Individual
MRS. RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 627-0238
Mailing address
728 WOODLAND AVE, WESTVILLE, NJ 08093-2242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW012632L
PA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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