ETHAN BENNET SMITH

HAMDEN, CT
NPI1659502490
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0850X Clinic/Center Adult Mental Health
Enumeration Date2009-07-28
Last Update Date2009-07-28
Business Address
ETHAN BENNET SMITH MSW
95 CIRCULAR AVE
HAMDEN, CT 06514-4004
Phone number: 203-288-6253
Mailing Address
ETHAN BENNET SMITH MSW
94 LIVINGSTON ST APT. 25
NEW HAVEN, CT 06511-2444
Phone number: 301-466-4646
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