Individual
CHRISTINE LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91 KNOLLWOOD RD, NEWINGTON, CT 06111-2568
(860) 214-7491
Mailing address
91 KNOLLWOOD RD, NEWINGTON, CT 06111-2568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004329
CT
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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