Individual
PAUL STODDARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
446 E 450 S, CLEARFIELD, UT 84015-1736
(801) 815-3443
(801) 683-8962
Mailing address
446 E 450 S, CLEARFIELD, UT 84015-1736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3090852-3501
UT
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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