Individual
MRS. ALICE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 WEST MAIN STREET, HYANNIS, MA 02601-3653
(508) 790-3375
(508) 790-3304
Mailing address
460 WEST MAIN STREET, HYANNIS, MA 02601-3653
(508) 790-3375
(508) 790-3304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115935
MA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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