Individual
MS. MARY ELLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
628 N LAKE ST, RENO, NV 89501-1020
(775) 315-1636
Mailing address
1465 MERIDIAN RANCH DR, RENO, NV 89523-3858
(775) 315-1636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4950-C
NV
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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