Individual
CLAY SONGOW SMITH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1O8 FOREST RD, SOUTHBURY, CT 06488-2409
(646) 908-9562
Mailing address
1O8 FOREST RD, SOUTHBURY, CT 06488-2409
(646) 908-9562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
060757
NY
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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