Individual
PENNY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4236 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2948
(314) 705-9272
Mailing address
4343 LACLEDE AVE, APT D, SAINT LOUIS, MO 63108-2253
(314) 705-9272
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2012007123
MO
Other
Enumeration date
01/08/2014
Last updated
04/14/2017
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