Individual
LYNETTE ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADT 2477
Contact information
Practice address
3330 SAINT AMBROSE AVE, BALTIMORE, MD 21215-6311
(202) 985-9536
Mailing address
3330 SAINT AMBROSE AVE, BALTIMORE, MD 21215-6311
(202) 985-9536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
932018402
MD
251S00000X
Community/Behavioral Health Agency
Primary
93-2018402
MD
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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