Individual
MS. MARSHA CAROL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3318 S BLACKMAN AVE, SUITE B, SPRINGFIELD, MO 65809-4163
(417) 693-7533
Mailing address
3318 S BLACKMAN AVE, SUITE B, SPRINGFIELD, MO 65809-4163
(417) 693-7533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001018062
MO
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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