Individual
DEENNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
5620 JENNINGS STATION RD, SAINT LOUIS, MO 63136-3537
(314) 745-7919
Mailing address
PO BOX 300038, SAINT LOUIS, MO 63130-0327
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
19424
MO
Other
Enumeration date
05/14/2025
Last updated
05/23/2025
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