Individual
DR. SANDRA GALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1672 W 700 S STE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Mailing address
1672 W 700 S STE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103299-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103299-3501
DOPL
UT
01
—
24447
BBS
CA
Enumeration date
10/29/2018
Last updated
10/29/2018
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