Individual
CARLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WATERVLIET SHAKER RD, LATHAM, NY 12110-4622
(838) 218-9950
Mailing address
10 WOODHALL LN, CLIFTON PARK, NY 12065-6021
(518) 669-5629
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118297-01
NY
Other
Enumeration date
08/02/2023
Last updated
04/06/2026
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