Individual
SHARAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 861-5448
Mailing address
404 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 861-5448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
06/10/2024
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