Individual
LYNTAVIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
222 AUBURN ST STE 103, PORTLAND, ME 04103-6005
(207) 616-1127
Mailing address
222 AUBURN ST STE 103, PORTLAND, ME 04103-6005
(207) 616-1127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10207
SC
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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