Individual
DONITA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW; LCSW
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(904) 396-8750
(904) 396-8759
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(904) 396-8750
(904) 396-8759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
003230
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497277004
—
MO
Enumeration date
01/11/2006
Last updated
03/24/2017
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