Individual
COLLEEN M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 INDIANA RD, WEST GARDINER, ME 04345-3361
(978) 328-0171
Mailing address
417 INDIANA RD, WEST GARDINER, ME 04345-3361
(978) 328-0171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6638
ME
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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