Provider Information for 1073391892
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ERIEKA T SMITH LCSW
Sex: Female
NPI: 1073391892
Last Updated: 2023-09-21
Certification Date: 2023-09-21
Certification Date: 2023-09-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073391892 | ||||||||
| Enumeration Date | 2023-09-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6161 MEMORIAL HWY APT 2202 TAMPA, FL 33615-4552 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1 TAMPA GENERAL CIR TAMPA, FL 33606-3571 United States Phone: 813-309-7411 | Fax: | ||||||||
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