Individual
MEKENNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5480 W SUNSHINE LN, WILLCOX, AZ 85643-3753
(541) 771-0006
Mailing address
5480 W SUNSHINE LN, WILLCOX, AZ 85643-3753
(541) 771-0006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-22582
AZ
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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