Individual
JOHNATHAN BAILEY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3785 NEW TOWN BLVD, SAINT CHARLES, MO 63301-4358
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024032656
MO
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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