Individual
MRS. TEMPEST SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2801 N IZABEL ST, FLAGSTAFF, AZ 86004-3452
(928) 773-8200
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12465
AZ
Other
Enumeration date
08/24/2006
Last updated
08/27/2014
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