Individual
DEXTER SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2932
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121126
MA
1041C0700X
Clinical Social Worker
CW018732
PA
Other
Enumeration date
01/05/2016
Last updated
07/26/2022
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