Individual
LAVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3811 MAIN ST, STRATFORD, CT 06614-4267
(914) 661-2471
Mailing address
3811 MAIN ST, STRATFORD, CT 06614-4267
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098584-1
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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