Individual
MERCEDES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(512) 468-4966
Mailing address
114 OAKLEAF DR, SAN ANTONIO, TX 78209-2922
(512) 468-4966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
DEPARTMENT OF VETERANS AFFAIRS
—
Enumeration date
11/26/2018
Last updated
11/26/2018
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