Individual
LUKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
515 MOSCOW RD, STOWE, VT 05672-5113
(802) 696-8900
Mailing address
PO BOX 1232, STOWE, VT 05672-1232
(802) 696-8900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0111500
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026190
—
VT
Enumeration date
12/23/2015
Last updated
07/30/2022
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