Individual
MS. CONSTANCE JANISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
480 SALEM ST, BRIDGEPORT, CT 06606-4623
(203) 335-4332
Mailing address
480 SALEM ST, BRIDGEPORT, CT 06606-4623
(203) 335-4332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006472
CT
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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