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Individual

AMBRIAL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
2 ADAMS DR APT C, MAPLE SHADE, NJ 08052-1493
(856) 889-5596
Mailing address
2 ADAMS DR APT C, MAPLE SHADE, NJ 08052-1493
(856) 889-5596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06480000
NJ

Other

Enumeration date
07/20/2021
Last updated
07/20/2021
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