Individual
RONALD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
202 E. EARLL DR., SUITE 200, PHOENIX, AZ 85012-2647
(602) 808-2800
(602) 599-5711
Mailing address
202 E. EARLL DR., SUITE 200, PHOENIX, AZ 85012-2647
(602) 808-2800
(602) 599-5711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1543
AZ
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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