Individual
ALYSON ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 OLD RIVER RD, MANORVILLE, NY 11949-1400
(631) 352-8906
Mailing address
221 OLD RIVER RD, MANORVILLE, NY 11949-1400
(631) 352-8906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095654
NY
Other
Enumeration date
02/28/2020
Last updated
06/20/2023
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