Individual
MS. MARY D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
4970 EASTON DR, TUSCALOOSA, AL 35405-1404
(205) 886-1803
Mailing address
4970 EASTON DR, TUSCALOOSA, AL 35405-1404
(205) 886-1803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5896C
AL
Other
Enumeration date
03/09/2011
Last updated
08/27/2024
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