Individual
MICHELE DOUGLAS-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE SOCIAL WORK
Contact information
Practice address
55 WILLOW LN, ENGLISHTOWN, NJ 07726-8434
(855) 436-7792
Mailing address
55 WILLOW LN, ENGLISHTOWN, NJ 07726-8434
(855) 436-7792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL05765600
NJ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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