La Tanya Smith M.A.

NPI 1790176188 - Counselor - 101Y00000X

NPI Details
NPI 1790176188
Gender Female
Enumeration Date 02/06/2015
Last Updated 02/06/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
30 KENNEBEC ST
MATTAPAN MA, 02126-1317, US
Phone (617) 224-8755
Fax (617) 322-9819
Business Location
30 KENNEBEC ST
MATTAPAN MA, 02126-1317, US
Phone (617) 224-8755
Fax (617) 322-9819
Toxanomy
Taxonomy Code 101Y00000X
License State Massachusetts
License Number 413153
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According to our database, La Tanya Smith M.A. NPI is 1790176188, taxonomy code is 101Y00000X and license number is 413153, license state is located at Massachusetts. La Tanya Smith M.A. physically located at 30 Kennebec St, Mattapan MA, 02126-1317. NPI Number La Tanya Smith M.A. has the Individual type.

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1790176188 NPI number is provided on an as is basis without warranty of any kind. 1790176188 is maintained by the National Plan & Provider Enumeration System. The contents of La Tanya Smith M.A. are for informational purposes only.