Individual
MRS. TYNE KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1309 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5234
(641) 484-5632
Mailing address
1309 S BROADWAY ST, PO BOX 7, TOLEDO, IA 52342-2307
(641) 484-5234
(641) 484-5632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07652
IA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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