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Individual

MERIBETH W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
805 PINE ST, PINE BLUFFS, WY 82082-0610
(307) 245-3444
Mailing address
PO BOX 610, PINE BLUFFS, WY 82082-0610
(307) 245-3444

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
650
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106079100
WY
Enumeration date
09/23/2009
Last updated
09/23/2009
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