Individual
AUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
405 N BEAVER ST STE 10, FLAGSTAFF, AZ 86001-4500
(928) 286-7229
Mailing address
6412 N SNOWFLAKE DR, FLAGSTAFF, AZ 86004-2636
(928) 533-5982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-18770
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-21800
AZ
Other
Enumeration date
05/14/2021
Last updated
10/03/2023
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