Individual
MR. GEORGE LESLIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Mailing address
9304 NE 9TH ST, VANCOUVER, WA 98664-3358
(360) 254-1473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0971
OR
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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