Individual
MRS. CYNTHIA MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8428 TALLY HO DR, HAZELWOOD, MO 63042-3054
(314) 521-1656
Mailing address
8428 TALLY HO DR, HAZELWOOD, MO 63042-3054
(314) 521-1656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004037139
MO
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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