Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 MAIN ST, NORWICH, CT 06360-5836
(860) 889-8346
Mailing address
79 CEDAR RD, MYSTIC, CT 06355-2163
(860) 536-6237
(860) 705-5631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
01/29/2013
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