Individual
MIRANDA BETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 286-1700
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-6952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020027123
MO
1041C0700X
Clinical Social Worker
6801098430
MI
Other
Enumeration date
02/07/2017
Last updated
12/21/2021
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