Individual
CORONDIUS ANTHONY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1703 N LOOP 1604 W APT 4205, SAN ANTONIO, TX 78258-4688
(719) 304-4958
Mailing address
1703 N LOOP 1604 W APT 4205, SAN ANTONIO, TX 78258-4688
(719) 304-4958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116383
TX
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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