Individual
AIYANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 CHURCH ST, SOUTHAMPTON, NY 11968-1196
(631) 343-5632
Mailing address
26 HILL ST STE 114, SOUTHAMPTON, NY 11968-5317
(631) 209-7815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
094249-1
NY
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/21/2017
Last updated
11/29/2024
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