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Individual

MS. MICHELLE KATHERINE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC; M.S.

Contact information

Practice address
637 WASHINGTON STREET, DORCHESTER, MA 02124
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST., DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4030
MA

Other

Enumeration date
02/04/2010
Last updated
02/04/2010
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