Individual
BEVERLY CAROL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3903 DORCHESTER RD, GWYNN OAK, MD 21207-7521
(410) 376-3523
Mailing address
3903 DORCHESTER RD, GWYNN OAK, MD 21207-7521
(410) 376-3523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12908
MD
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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