Individual
PENNY LE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1949 SNOWBERRY LN, JOPLIN, MO 64804-5420
(417) 347-7860
(918) 542-7374
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OK
104100000X
Social Worker
Primary
2021004965
MO
Other
Enumeration date
05/30/2017
Last updated
03/16/2021
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