Individual
MS. DORIS M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 860-1033
(508) 860-1068
Mailing address
401 PEAKHAM RD, SUDBURY, MA 01776-2761
(978) 443-5702
(508) 860-1068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1404
LMHC
MA
Enumeration date
08/20/2006
Last updated
07/08/2007
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