Individual
MRS. LISA LENORE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
315 ELMORA AVE, ELIZABETH, NJ 07208-1383
(973) 558-8750
Mailing address
801 ELIZABETH AVE APT 1B, NEWARK, NJ 07112-2257
(973) 558-8750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06441100
NJ
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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