Provider Information for 1326661315
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RACQUEL Y SMITH LCSW
Sex: Female
NPI: 1326661315
Last Updated: 2023-01-17
Certification Date: 2023-01-17
Certification Date: 2023-01-17
Details
| Name | Value | ||||||||||||||||
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| NPI | 1326661315 | ||||||||||||||||
| Enumeration Date | 2020-05-25 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 20415 NW 37TH CT MIAMI GARDENS, FL 33055-1418 United States Phone: | Fax: | ||||||||||||||||
| Primary Practice Address | 20415 NW 37TH CT MIAMI GARDENS, FL 33055-1418 United States Phone: 914-806-5170 | Fax: | ||||||||||||||||
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