Individual
JULIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20505 DUPONT BLVD, UNIT 1, GEORGETOWN, DE 19947-3173
(302) 856-1835
Mailing address
20505 DUPONT BLVD, UNIT 1, GEORGETOWN, DE 19947-3173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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