Individual
MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 N 10TH AVE, TUCSON, AZ 85705-7644
(505) 210-2946
Mailing address
811 N 10TH AVE, TUCSON, AZ 85705-7644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/09/2021
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