Individual
MS. D'JUANA P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5702-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169016795
MEDICAID PIN
AR
Enumeration date
06/24/2010
Last updated
06/04/2021
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