Individual
CRYSTAL DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 W STEVENS ST, CARLSBAD, NM 88220-4958
(575) 234-3305
Mailing address
700 W STEVENS ST, CARLSBAD, NM 88220-4958
(575) 234-3305
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-07070
NM
104100000X
Social Worker
X-06610
NM
1041C0700X
Clinical Social Worker
Primary
C-07722
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56558571
—
NM
Enumeration date
06/09/2009
Last updated
03/18/2024
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