Individual
KERREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1140 BREAKAWAY DR, OCEANSIDE, CA 92057-1954
(661) 645-7824
Mailing address
1140 BREAKAWAY DR, OCEANSIDE, CA 92057-1954
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
230087323
CA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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