Individual
EVAN ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3031 W IH 10, ATTENTION : CREDENTIALING, SAN ANTONIO, TX 78201-5159
(210) 261-1000
(210) 731-8678
Mailing address
3031 W IH 10, SAN ANTONIO, TX 78201-5159
(210) 261-1000
(210) 731-8678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58085
TX
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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