Individual
LEROYCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 E FLORENCE BLVD, SUITE A, CASA GRANDE, AZ 85122-4228
(520) 260-5529
Mailing address
40368 W ART PL, MARICOPA, AZ 85138-5151
(225) 772-7846
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
D09732290
AZ
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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