Individual
MRS. GIDGET ANTONIETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(914) 773-6175
Mailing address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(914) 773-6175
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P102234
NY
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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