Edward D Smith III, LCSW

NPI #1073910147 in Ronkonkoma, New York

Provider Information

NPI Number
1073910147
Entity Type
Individual
Name
Edward D Smith III, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 4, 2014
Last Updated
Dec 4, 2014

Practice Location

Address
115 N HURON ST
ZIP Code
11779-3531
Phone
(631) 626-7418

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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