Individual
DIANE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5027
(253) 967-4452
Mailing address
9040 JACKSON AVE 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 967-4452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5712C
NV
Other
Enumeration date
05/16/2012
Last updated
03/08/2019
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