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Individual

MRS. KIM- LEIGH CAVE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
22 MILL ST, ARLINGTON, MA 02476-4784
(617) 797-9387
Mailing address
77 SUMMER ST, WATERTOWN, MA 02472-3813
(617) 797-9387

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10833
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
10/02/2019
Last updated
10/02/2019
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