Individual
MICHELLE YVETTE SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10235 ASHBROOK DR, SAINT LOUIS, MO 63137-1522
(314) 831-1533
(314) 831-1391
Mailing address
8436 ROANOKE DR, SAINT LOUIS, MO 63121-4544
(314) 383-8719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004100
MO
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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