Individual
DR. DAVID TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LICSW
Contact information
Practice address
7215 GLENWOOD AVE, GOLDEN VALLEY, MN 55427-4806
(763) 228-7108
Mailing address
7215 GLENWOOD AVE, GOLDEN VALLEY, MN 55427-4806
(763) 228-7108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08854
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08854
LICSW
MN
Enumeration date
10/04/2007
Last updated
01/09/2009
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