Individual
LAURINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
417 W 13TH ST, PUEBLO, CO 81003-2703
(719) 544-0877
Mailing address
469 E MAHER DR, PUEBLO WEST, CO 81007-3529
(719) 647-2648
(719) 647-2648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992574
CO
Other
Enumeration date
01/23/2008
Last updated
03/25/2010
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