Individual
MARISA KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6900 NE 14TH ST, ANKENY, IA 50023-8902
(319) 784-2348
Mailing address
6900 NE 14TH ST, ANKENY, IA 50023-8902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122842
IA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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