Individual
MRS. ELVIRA K. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CSW
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 455-5555
(856) 455-5405
Mailing address
4910 COVERED BRIDGE RD, MILLVILLE, NJ 08332-1132
(856) 455-5555
(856) 455-5405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW00928200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447337134
—
NJ
Enumeration date
04/27/2009
Last updated
04/27/2009
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