Individual
DENISE E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2697 12TH PL SE, SALEM, OR 97302-2537
(503) 510-7695
(503) 315-7571
Mailing address
2697 12TH PL SE, SALEM, OR 97302-2537
(503) 510-7695
(503) 315-7571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2701
OR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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