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Individual

DR. CRAIG WYATT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3750 LINDELL BLVD, 113 MCGANNON HALL, SAINT LOUIS, MO 63108-3412
(314) 977-2507
Mailing address
806 LEGENDS VIEW DR, EUREKA, MO 63025-2094
(636) 549-3115

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2006033722
MO

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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