Individual
KYRA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2347
(641) 236-2586
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2347
(641) 236-2586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008225
IA
Other
Enumeration date
08/06/2012
Last updated
07/25/2013
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