Individual
CAROL M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 E MAIN ST, MOORESTOWN, NJ 08057-3073
(856) 234-7422
(609) 386-8674
Mailing address
117 E MAPLE AVE, MOORESTOWN, NJ 08057-2009
(856) 235-6308
(609) 386-8674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00037500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0506280000
AMERIHEALTH
NJ
01
—
4559692
AETNA
NJ
Enumeration date
09/20/2006
Last updated
07/08/2007
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