Individual
MR. MICHAEL LEE SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 SALEM TPKE, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
62 YANTIC LN, NORWICH, CT 06360-1453
(959) 234-6516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/14/2023
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