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Organization
MEALANI SMITH LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
MEALANI SMITH LICENSED CLINICAL SOCIAL WORKER PC
Active
Other names
Embodied self therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MEALANI M SMITH LCSW (CHIEF EXECUTIVE OFFICER)
(707) 494-6194
Entity
Organization
Contact information
Practice address
9240 OLD REDWOOD HWY UNIT 200, WINDSOR, CA 95492-9349
(707) 494-6194
Mailing address
328 YATES DR, SANTA ROSA, CA 95405-4705
(707) 494-6194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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