Individual
NATHANIEL BROOKS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1308 KUUNA ST, KAILUA, HI 96734-3662
(912) 334-1248
Mailing address
PO BOX 457, KAILUA, HI 96734-0457
(912) 334-1248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5026
KY
Other
Enumeration date
11/04/2013
Last updated
10/19/2022
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