Individual
DARRYL ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 VIRGINIA AVE, MONTCLAIR, NJ 07042-2468
(862) 368-3105
Mailing address
125 GLENRIDGE AVE UNIT 1263, MONTCLAIR, NJ 07042-6850
(862) 368-3105
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37PC00844700
NJ
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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