Individual
SUSAN BENNETT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
2138 CHALYBE DR, HOOVER, AL 35226-6255
(205) 566-6560
(205) 638-5037
Mailing address
2138 CHALYBE DR, HOOVER, AL 35226-6255
(205) 566-6560
(205) 638-5037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1605C
AL
Other
Enumeration date
02/16/2011
Last updated
12/11/2018
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