| NPI | 1114221207 |
|---|---|
| Professional Name | DAVID WAYNE SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.004794) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2008035911) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2019-11-14 |