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Individual

MR. RICHARD DEAN SMITH II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 364-1501
Mailing address
3314 N 36TH TER, SAINT JOSEPH, MO 64506-1415
(816) 341-3269

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018031769
MO

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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