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Individual

JONATHAN SCOTT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 508-8081
(203) 508-7506
Mailing address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 508-8081
(203) 508-7506

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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