Individual
MR. J B. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18 KINGS HWY, SUITE 202, MIDDLETOWN, NJ 07748-2509
(732) 533-8433
Mailing address
32 SPRUCE DR, MIDDLETOWN, NJ 07748-3429
(732) 533-8433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05619200
NJ
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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