Individual
MR. MARLEY CRANFORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-4521
Mailing address
1347 OHARA DR, SAN ANTONIO, TX 78251-4920
(520) 241-5351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
149004974
IL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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