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Individual

BONITA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
3516 EYRE DR N, UPPER MARLBORO, MD 20772-3202
(240) 639-5240
Mailing address
12138 CENTRAL AVE STE 163, BOWIE, MD 20721-1910
(301) 379-2792

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC9755
MD

Other

Enumeration date
09/18/2019
Last updated
12/19/2024
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