Individual
KIMBERLY JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Mailing address
703 W MAIN ST, FERTILE, IA 50434-1031
(641) 529-2165
(641) 424-0783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099698
IA
Other
Enumeration date
10/29/2019
Last updated
02/14/2024
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