Individual
OCTAVIA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-3273
(443) 995-5984
Mailing address
8325 JACOBS RD, SEVERN, MD 21144-2903
(240) 755-9399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24335
MD
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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