Individual
TONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
450 N 11TH ST, BEAUMONT, TX 77702-1804
(409) 242-2539
Mailing address
5113 SHAKESPEARE RD, KOUNTZE, TX 77625-8103
(210) 232-7864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62305
TX
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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