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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
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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