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Individual

TARA LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
200 NORTH STREET, TETERBORO, NJ 07608
(201) 494-6570
Mailing address
63 OAKWOOD VLG APT 8, FLANDERS, NJ 07836-8929
(973) 886-6562

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06473600
NJ

Other

Enumeration date
04/29/2019
Last updated
07/18/2024
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