Individual
CELIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12940 HARRIET AVE S STE 110, BURNSVILLE, MN 55337-2680
(866) 603-0016
Mailing address
12940 HARRIET AVE S STE 110, BURNSVILLE, MN 55337-2680
(651) 300-9493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27622
MN
Other
Enumeration date
05/08/2020
Last updated
01/06/2025
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