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Individual

KHADIJAH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9 W. BROADWAY FL 3, PATERSON, NJ 07505
(973) 345-1883
Mailing address
16 WERNIK PLACE, METUCHEN, NJ 08840
(732) 549-0401
(732) 549-4446

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/13/2023
Last updated
09/13/2023
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