Individual
SHARON DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
600 CAISSON HILL RD, IACH, FAP 2, FORT RILEY, KS 66442-7037
(785) 239-7060
(785) 240-5257
Mailing address
600 CAISSON HILL RD, IACH, FAP 2, FORT RILEY, KS 66442-7037
(785) 239-7060
(785) 240-5257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8673
KS
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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