Individual
MS. CHANELL SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
635 COMMANDER AVE, WEST BABYLON, NY 11704
(516) 473-3195
Mailing address
635 COMMANDER AVE, WEST BABYLON, NY 11704
(516) 473-3195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087656
NY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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