Individual
MRS. KIMBERLY DIANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW INTERN
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
(702) 754-0808
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
(702) 754-0808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-571
NV
Other
Enumeration date
01/27/2009
Last updated
03/15/2019
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