Individual
MRS. ALISA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
409 N. 4TH ST., BURLINGTON, IA 52601
(319) 208-9648
(319) 208-8517
Mailing address
409 N. 4TH ST. P.O. BOX 12, BURLINGTON, IA 52601
(319) 208-9648
(319) 208-8517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082322
IA
Other
Enumeration date
07/14/2016
Last updated
07/24/2019
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