Individual
MRS. DOROTHY ISLES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 FAUNCE RD, MATTAPAN, MA 02126-2531
(617) 298-2916
Mailing address
47 FAUNCE RD, MATTAPAN, MA 02126-2531
(617) 298-2916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
214689
MA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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