MARK SMITH, LICSW

LICSW

Clinical Social Worker

NPI: 1508988908Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

11372(MN)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 1995

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Contact & Hours

Address: 5939 PORTLAND AVE
MINNEAPOLIS, MN 55417
Phone: (612) 866-6100

Quick Facts

NPI: 1508988908
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1
Years in Practice: 31

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