Most Relevant Information
Provider Data
NPI Number: | 1003246893 |
Provider Name: | AMANDA SMITH |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 11/15/2013 |
Last Updated: | 11/15/2013 |
Provider Practice Location
170 PLEASANT ST
ROOM 100
FALL RIVER
MA
027213015
Practice Location Phone/Fax
Phone: | 7742945722 |
Fax: | 7742945724 |
Provider Mailing Location
170 PLEASANT ST
ROOM 100
FALL RIVER
MA
027213015
Provider Mailing Phone/Fax
Phone: | 7742945722 |
Fax: | 7742945724 |