Individual
LEANICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 ROUTE 206, HILLSBOROUGH, NJ 08844-4142
(908) 685-1887
Mailing address
270 ROOSEVELT AVE, PISCATAWAY, NJ 08854-4807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00578000
NJ
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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