Individual
KRISTINE ELLECE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
161 S. MAIN ST., MISSION, SD 57555
(605) 214-8486
Mailing address
PO BOX 561, WINNER, SD 57580-0561
(605) 214-8486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5115
SD
1041C0700X
Clinical Social Worker
Primary
6273
SD
Other
Enumeration date
10/05/2020
Last updated
01/18/2024
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