Individual
BRYNN KATHRYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
649 DAYTON AVENUE, SAINT PAUL, MN 55104-6631
(612) 436-4840
(612) 436-2604
Mailing address
649 DAYTON AVENUE, SAINT PAUL, MN 55104-6631
(612) 436-4840
(612) 436-2604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19713
MN
Other
Enumeration date
09/19/2011
Last updated
12/20/2019
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