Individual
MR. LUTHER RAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
1531 E SUNSHINE ST STE W29, SPRINGFIELD, MO 65804-1237
(417) 887-9950
Mailing address
1531 E SUNSHINE ST STE W29, SPRINGFIELD, MO 65804-1237
(417) 887-9950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004036403
MO
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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