Individual
BARBARA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 NE 18TH AVE, #1207, FORT LAUDERDALE, FL 33304-3063
(855) 241-7160
Mailing address
11165 JENNY WREN RD, WEEKI WACHEE, FL 34614-3128
(855) 241-7160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763949000
—
FL
Enumeration date
07/20/2007
Last updated
10/09/2012
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