Individual
ELLEN ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 7TH AVENUE SOUTH, DEPT. 7470, ST. PETERSBURG, FL 33731-8920
(727) 767-6766
(727) 767-4715
Mailing address
801 6TH ST S, ST PETERSBURG, FL 33701-4816
(727) 767-6766
(727) 767-4715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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