Individual
DENNIS A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1310 HIGHWAY 96 E, SUITE 202 A, WHITE BEAR LAKE, MN 55110-3624
(651) 587-4531
Mailing address
2101 WHITETAIL RDG, WHITE BEAR LAKE, MN 55110-1034
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
470
MN
Other
Enumeration date
09/01/2006
Last updated
07/09/2007
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