Individual
MRS. CARLA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HOSPITAL DR, PENDER, NE 68047-4507
(402) 385-3083
Mailing address
PO BOX 100, PENDER, NE 68047-0100
(402) 385-4004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
03661
IA
1041C0700X
Clinical Social Worker
Primary
1660
NE
Other
Enumeration date
01/25/2007
Last updated
05/05/2020
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