Individual
TAMMY MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 CEDAR LN STE 3A, TEANECK, NJ 07666-4457
(201) 885-3747
(862) 684-4711
Mailing address
121 CEDAR LN STE 3A, TEANECK, NJ 07666-4457
(201) 885-3747
(862) 684-4711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05933900
NJ
Other
Enumeration date
09/21/2017
Last updated
10/16/2020
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