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Individual

MAGGIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
145 MAPLE AVE, RED BANK, NJ 07701-1717
(732) 758-0094
(732) 758-0193
Mailing address
2509 STRAWBERRY PATCH CT, FREEHOLD, NJ 07728-9140
(732) 303-0572

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37F100149200
NJ

Other

Enumeration date
12/20/2006
Last updated
07/08/2007
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