Individual
BRENDA L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
66 JUNCTION SQUARE DR, CONCORD, MA 01742-3049
(978) 369-7745
(978) 287-0238
Mailing address
11 OXBOW RD, CONCORD, MA 01742-4926
(978) 369-7745
(978) 287-0238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103300
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01066
BCBS OF MA
MA
Enumeration date
12/27/2006
Last updated
07/08/2007
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