Individual
MS. DEBORRA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1307 SUNNYSIDE LN, ATLANTIC, IA 50022-2205
(712) 243-1213
(712) 243-4675
Mailing address
140 1800TH ST, P.O. BOX #1, PANAMA, IA 51562-6104
(712) 489-2824
(712) 243-4675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00732
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220301
—
IA
Enumeration date
12/02/2006
Last updated
01/18/2021
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