Individual
MR. RONNIE COLMAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1200 N GLENN ENGLISH ST, CORDELL, OK 73632-2015
(703) 980-8908
Mailing address
716 E 11TH STREET, CORDELL, OK 73632
(703) 980-8908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4430
OK
1041C0700X
Clinical Social Worker
SW7441
FL
Other
Enumeration date
03/10/2008
Last updated
10/06/2014
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