Individual
RALPH B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1780 OLD HIGHWAY 50 E STE 113, UNION, MO 63084
(636) 582-8100
(636) 583-2885
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2017009044
MO
1041C0700X
Clinical Social Worker
149017465
IL
Other
Enumeration date
05/26/2015
Last updated
06/22/2018
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