Individual
ANDRE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
131 W BROAD ST, ROCHESTER, NY 14614-1103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
061166
NY
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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