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Individual

LORETTA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
10308 KINGS GAP WAY, INDIANAPOLIS, IN 46234-3645
(732) 267-3713
Mailing address
PO BOX 887, BROWNSBURG, IN 46112-0887
(732) 267-3713

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33007710A
IN
1041C0700X
Clinical Social Worker
Primary
34008437A
IN

Other

Enumeration date
01/04/2017
Last updated
09/29/2020
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