Individual
COLLEEN W SMITHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1123 LOCUST ST, SAINT LOUIS, MO 63101-1103
(314) 240-5104
Mailing address
1123 LOCUST ST, SAINT LOUIS, MO 63101-1103
(314) 240-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015008531
MO
Other
Enumeration date
12/12/2012
Last updated
04/17/2020
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