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Individual
KYRA IMANI SMITH
Active
Individual
KYRA IMANI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102916
CA
104100000X
Social Worker
Primary
122841
CA
1041C0700X
Clinical Social Worker
Primary
122841
CA
225400000X
Rehabilitation Practitioner
—
CA
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2019
Last updated
08/28/2026
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