Individual
MRS. SANDRA E SMITH-DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
170 MORTON STREET, JAMAICA PLAIN, BOSTON, MA 02130-3735
(617) 391-9333
(617) 983-0351
Mailing address
85 MORTON VILLAGE DRIVE APT. 406, BOSTON, MA 02126
(617) 391-9333
(671) 983-0351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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