Individual
DESTINEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7006
(202) 450-5822
Mailing address
2900 12TH ST NE APT 104, WASHINGTON, DC 20017-2412
(919) 240-8975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP11154
MD
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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