Individual
MYA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 MILLBURN AVE STE 8, SPRINGFIELD, NJ 07081-1023
(732) 788-9501
Mailing address
335 N 18TH ST, KENILWORTH, NJ 07033-1011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07394500
NJ
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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