Individual
DR. ERICKSON T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5920 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-3516
(314) 389-5737
(314) 382-1660
Mailing address
5920 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-3516
(314) 922-7139
(314) 382-1660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002619
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493542419
—
MO
Enumeration date
04/04/2007
Last updated
03/18/2024
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