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Individual

MS. PAMELA D. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.W., L.C.S.W

Contact information

Practice address
2405 FAIRLAWN DR, CARTHAGE, MO 64836-3517
(417) 359-8093
(417) 359-8094
Mailing address
8649 GUM RD, CARTHAGE, MO 64836-8509
(417) 388-1351

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005025551
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497241901
MO
Enumeration date
06/19/2007
Last updated
07/21/2010
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