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Organization
MICKEY O. SMITH, LCSW,PA
Active
Organization
MICKEY O. SMITH, LCSW,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY ORB SMITH LCSW, PA (LCSW, PA)
(254) 526-7272
Entity
Organization
Contact information
Practice address
1711 E CENTRAL TEXAS EXPY, SUITE 103, KILLEEN, TX 76541-9166
(254) 526-7272
(254) 526-3949
Mailing address
1711 E CENTRAL TEXAS EXPY, SUITE 103, KILLEEN, TX 76541-9166
(254) 526-7272
(254) 526-3949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184183504
—
TX
Enumeration date
07/14/2009
Last updated
07/14/2009
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