Individual
GWENDOLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
(609) 267-2318
Mailing address
204 BROOKE AVE, MAGNOLIA, NJ 08049-1206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S57783106456932
NJ
Other
Enumeration date
11/13/2015
Last updated
11/23/2015
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