Individual
MR. BLAIR E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
100 CUMMINGS CENTER SUITE 456J, BEVERLY, MA 01915
(978) 921-4000
(978) 921-7530
Mailing address
36 MUGFORD ST, MARBLEHEAD, MA 01945
(978) 835-4022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1023029
MA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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