EDWARD D SMITH

RONKONKOMA, NY
NPI1073910147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  054262)
Enumeration Date2014-12-04
Last Update Date2014-12-04
Business Address
-- EDWARD D SMITH LCSW
115 N HURON ST
RONKONKOMA, NY 11779-3531
Phone number: 631-626-7418
Mailing Address
-- EDWARD D SMITH LCSW
115 N HURON ST
RONKONKOMA, NY 11779-3531
Phone number: 631-626-7418
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