Individual
CHASSITY ANNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5401 E LAKE BLVD, BIRMINGHAM, AL 35217-3545
(205) 531-4932
Mailing address
5504 PARK SIDE CIR, HOOVER, AL 35244-5123
(205) 531-4932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4482C
AL
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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