Individual
DOMINIC JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(301) 333-2980
Mailing address
MONROE 6782, LAS CONDES, SANTIAGO 75500-00
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27358
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27358
MARYLAND BOARD OF SOCIAL WORK EXAMINERS
MD
Enumeration date
06/22/2022
Last updated
06/22/2022
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