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Individual

CACHITA KITT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 LONG ISLAND AVE, WYANDANCH, NY 11798-3123
(631) 782-6200
Mailing address
1039 OLD TOWN RD, CORAM, NY 11727-3732

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098860
NY

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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