Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
102 MANDAN AVE, MANDAN, ND 58554-3771
(701) 667-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5061
ND
1041C0700X
Clinical Social Worker
Primary
5061
ND
Other
Enumeration date
01/31/2020
Last updated
04/09/2020
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