Smbm, Lcsw, Pllc
NPI #1275961237 in Fort Edward, New York
Provider Information
- NPI Number
- 1275961237
- Entity Type
- Organization
- Organization Name
- Smbm, Lcsw, Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 29, 2013
- Last Updated
- Oct 30, 2013
Practice Location
- Address
- 46 REYNOLDS RD
- City
- Fort Edward
- State
- New York
- ZIP Code
- 12828-9244
- Phone
- (518) 573-0239
Authorized Official
- Name
- SHANNON BROCK MYLES, LCSW
- Title
- OWNER
- Phone
- (518) 573-0239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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