Individual
SARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13318 CARMELLA CT, BRISTOW, VA 20136-1033
(315) 664-1821
Mailing address
13318 CARMELLA CT, BRISTOW, VA 20136-1033
(315) 664-1821
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
002262
NY
106H00000X
Marriage & Family Therapist
Primary
0717002133
VA
Other
Enumeration date
04/19/2024
Last updated
04/17/2025
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