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Individual

RAESHELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(410) 684-3806
Mailing address
852 LAKE SHORE DR, BOWIE, MD 20721-2900
(909) 461-7743

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/12/2026
Last updated
06/12/2026
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