Provider Information for 1942759204
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VIRGINIA YASMINE SMITH LCSW
Sex: Female
NPI: 1942759204
Last Updated: 2016-09-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1942759204 | ||||||||
| Enumeration Date | 2016-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 13130 LAKEWIND DR CLERMONT, FL 34711-5334 United States Phone: 352-227-8456 | Fax: | ||||||||
| Primary Practice Address | 13350 W COLONIAL DR SUITE 340 WINTER GARDEN, FL 34787-3964 United States Phone: 407-654-4433 | Fax:407-926-0209 | ||||||||
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