Individual
MACKENZIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 WATER ST, TORRINGTON, CT 06790-5339
(203) 558-3975
Mailing address
12 TREFOIL RD, OXFORD, CT 06478-1661
(203) 206-9352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16368
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
03/03/2026
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