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Individual

KATHY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Mailing address
10 MAIN ST, FLORENCE, MA 01062-3160
(413) 586-8550
(413) 585-6756

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001028
MO
1041C0700X
Clinical Social Worker
Primary
007394
CT
1041C0700X
Clinical Social Worker
114406
MA

Other

Enumeration date
07/15/2005
Last updated
08/27/2010
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