THEODORE VANDIX SMITH

FLUSHING, NY
NPI1427203157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  068663-1)
Enumeration Date2008-11-21
Last Update Date2008-11-21
Business Address
Mr. THEODORE VANDIX SMITH L.M.S.W.
71-50 PARSONS BLVD.
FLUSHING, NY 11365
Phone number: 718-591-6750
Mailing Address
Mr. THEODORE VANDIX SMITH L.M.S.W.
102-32 189TH STREET
HOLLIS, NY 11423
Phone number: 718-454-2152
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