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Individual

JAMES R SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 DECATUR AVE, PEEKSKILL, NY 10566-2106
(914) 737-1591
Mailing address
200 DECATUR AVE, PEEKSKILL, NY 10566-2106
(914) 737-1591

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R 035598-1
NY
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
Primary
RO35598-1
NY

Other

Enumeration date
03/02/2013
Last updated
03/02/2013
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