Individual
NEVONYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 GREENWOOD ST STE A, WORCESTER, MA 01607-1767
(719) 220-0670
Mailing address
505 FRANKLIN RD, FITCHBURG, MA 01420
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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