Individual
CHENELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 FLETCHER ST, TONAWANDA, NY 14150-3616
(716) 694-7670
Mailing address
600 FLETCHER ST, TONAWANDA, NY 14150-3616
(716) 694-7670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12001
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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