Traci Mutzabaugh Smith, LCSW
Social Worker, Clinical in Chesapeake, VA. Individual provider (NPI-1).
NPI number1477589372
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477589372
- Entity type
- Individual (NPI-1)
- Name
- Ms. Traci Mutzabaugh Smith
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904005929 | VA | Yes |
Practice location
3580 Forest Haven LnSuite B
Chesapeake, VA 23321-5134
Phone 757-398-2881 · Fax 757-483-0707
Mailing address
3580 Forest Haven LnSuite B
Chesapeake, VA 23321-5134
Phone 757-398-2881 · Fax 757-483-0707
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