Individual
KIMBERLY M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD. LMFT
Contact information
Practice address
7292 MANCHESTER RD, MAPLEWOOD, MO 63143-2438
(314) 780-1260
Mailing address
7292 MANCHESTER RD, MAPLEWOOD, MO 63143-2438
(314) 780-1260
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2011017503
MO
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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