Individual
MS. THERESA FAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 NORTH COTTONWOOD STREET, WOODLAND, AL 95695
(530) 666-8746
Mailing address
PO BOX 15792, SACRAMENTO, CA 95852-0792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 20932
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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