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Individual

REGINA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2760 W ALLEN DR, SPRINGFIELD, MO 65810-1200
(417) 860-8289
Mailing address
2760 W ALLEN DR, SPRINGFIELD, MO 65810-1200
(417) 860-8289

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014013482
MO

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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