Individual
DANA LYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MHP,LICSW, CMHS
Contact information
Practice address
714 E EDISON AVE, SUITE B, SUNNYSIDE, WA 98944-2204
(509) 515-0420
(509) 515-0422
Mailing address
714 E EDISON AVE, SUITE B, SUNNYSIDE, WA 98944-2204
(509) 515-0420
(509) 515-0422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038375
—
WA
Enumeration date
07/24/2012
Last updated
04/10/2017
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