Yvonne Marie Smith, LCSW
Social Worker, Clinical in Milwaukie, OR. Individual provider (NPI-1).
NPI number1164049417
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1164049417
- Entity type
- Individual (NPI-1)
- Name
- Yvonne Marie Smith
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2020
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L2491 | OR | Yes |
Practice location
12530 Se Shell LnMilwaukie, OR 97222-8805
Phone 503-957-4249
Mailing address
12530 Se Shell LnMilwaukie, OR 97222-8805
Phone 503-957-4249
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