Individual
KELLY NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
3181 WESTOVER DR SE, WASHINGTON, DC 20020-3719
(404) 693-6003
Mailing address
3181 WESTOVER DR SE, WASHINGTON, DC 20020-3719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW003900
GA
1041C0700X
Clinical Social Worker
Primary
LC50079550
DC
Other
Enumeration date
09/21/2008
Last updated
05/15/2014
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