Individual
KENNETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 CAHOON RD, APT A, BUZZARDS BAY, MA 02532-4802
(508) 932-8526
(774) 413-9810
Mailing address
PO BOX 725, EAST SANDWICH, MA 02537-0725
(508) 932-8526
(774) 413-9810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
07/05/2016
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