Individual
MRS. HEAVEN PHILYSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1650 HAYES DR, MANHATTAN, KS 66502-5070
(785) 587-4300
Mailing address
1558 HAYES DR, MANHATTAN, KS 66502-5068
(785) 587-4300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13999
KS
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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