Individual
KYLIE NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019030412
MO
1041C0700X
Clinical Social Worker
CW020919
PA
Other
Enumeration date
01/29/2020
Last updated
09/08/2021
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