Individual
CARRIE NISA SMUCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
35 OLD RIDGEFIELD RD, WILTON, CT 06897-3060
(203) 712-0099
Mailing address
63 HOLMES RD, RIDGEFIELD, CT 06877-4302
(203) 917-0117
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
27.003362
CT
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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