Individual
NICOLE DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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