Individual
MR. JAMES T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
119 JONES ST, EL DORADO, KS 67042-1469
(316) 322-9600
(316) 322-9602
Mailing address
119 JONES ST, EL DORADO, KS 67042-1469
(316) 322-9600
(316) 322-9602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0690
KS
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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