Organization
KAREN SMITH LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MADELEINE SMITH LCSW (OWNER)
(475) 331-2100
Entity
Organization
Contact information
Practice address
580 NAUGATUCK AVE, MILFORD, CT 06461-4059
(475) 331-2100
(203) 283-7714
Mailing address
16 WESTMINSTER CT, MILFORD, CT 06461-1619
(475) 331-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
008381
CT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
008381
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236148
—
CT
Enumeration date
10/11/2017
Last updated
10/11/2017
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