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Individual

SANDRA JEAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCADC,CSW

Contact information

Practice address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-5246
(732) 923-5277
Mailing address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-5246
(732) 923-5277

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00086900
NJ

Other

Enumeration date
08/14/2007
Last updated
08/14/2007
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