Individual
MISS KIA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 NIANTIC RIVER RD, WATERFORD, CT 06385-1533
(860) 912-0149
Mailing address
17 ANDREWS ST, NEW BRITAIN, CT 06051-3323
(203) 889-6810
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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