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Individual

MARK W. SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
6260 S LINDBERGH BLVD, STE. 103, SAINT LOUIS, MO 63123-7831
(314) 845-9500
(314) 845-6599
Mailing address
6260 S LINDBERGH BLVD, STE. 103, SAINT LOUIS, MO 63123-7831
(314) 845-9500
(314) 845-6599

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWOO3737
MO

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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