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Individual

MS. KIMBERLY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT LADC

Contact information

Practice address
7495 W AZURE DR STE 205, LAS VEGAS, NV 89130-4416
(702) 515-4015
(702) 202-6798
Mailing address
7495 W AZURE DR STE 205, LAS VEGAS, NV 89130-4416
(702) 515-4015
(702) 202-6798

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0784
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100508969
NV
Enumeration date
07/16/2006
Last updated
02/22/2020
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