Individual
KIMBERLY DAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 DRESSELL AVE, SAINT LOUIS, MO 63120-1403
(314) 385-5039
Mailing address
4205 DRESSELL AVE, SAINT LOUIS, MO 63120-1403
(314) 385-5039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004328
MO
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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