Individual
SENIQA TRIXINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 TALBOT AVE, DORCHESTER, MA 02124-3717
(334) 349-3635
Mailing address
520 DUDLEY ST, BOSTON, MA 02119-2769
(334) 349-3635
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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