Individual
DOROTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6360 TECHSTER BLVD, SUITE 1, FORT MYERS, FL 33966-4805
(239) 223-2751
(239) 561-2933
Mailing address
6360 TECHSTER BLVD, SUITE 1, FORT MYERS, FL 33966-4805
(239) 223-2751
(239) 561-2933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100152000
—
KY
Enumeration date
09/08/2010
Last updated
06/12/2015
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