Individual
VANITY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 BLOOMFIELD AVE, BLOOMFIELD, CT 06002-2489
(860) 243-6584
(860) 243-6591
Mailing address
693 BLOOMFIELD AVE, BLOOMFIELD, CT 06002-2489
(860) 243-6584
(860) 243-6591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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