Individual
ERNEST SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
8401 WAYZATA BLVE, SUITE 370, GOLDEN VALLEY, MN 55426-1379
(763) 544-1006
(763) 544-1008
Mailing address
2125 COMO AVE, SAINT PAUL, MN 55108-1801
(651) 366-9788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19000
MN
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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