Individual
KRISTEN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
169 ANTHOINE ST, SOUTH PORTLAND, ME 04106-4452
(207) 671-7572
Mailing address
169 ANTHOINE ST, SOUTH PORTLAND, ME 04106-4452
(207) 671-7572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC22711
ME
1041C0700X
Clinical Social Worker
14209558-3501
UT
1041C0700X
Clinical Social Worker
15013
CT
1041C0700X
Clinical Social Worker
SW15759
FL
Other
Enumeration date
12/07/2021
Last updated
04/01/2025
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