Individual
MR. KENNETH ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, BA PSYCHOLOGY
Contact information
Practice address
5021 E TRINDLE RD, MECHANICSBURG, PA 17050-3528
(717) 406-5190
(717) 202-2590
Mailing address
5021 E TRINDLE RD, MECHANICSBURG, PA 17050-3528
(717) 406-5190
(717) 202-2590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139803
PA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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