Individual
EMMANUEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2138 PRIEST BRIDGE CT, CROFTON, MD 21114-2462
(667) 239-8348
Mailing address
8229 KRAMER CT, GLEN BURNIE, MD 21061-5104
(443) 336-9104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13660
MD
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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