KIM MARIE SMITH

FORT WAYNE, IN
NPI1558493056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  34002738A)
Enumeration Date2007-03-10
Last Update Date2007-07-08
Business Address
Mrs. KIM MARIE SMITH LCSW, LMFT
3266 MALLARD COVE LN
FORT WAYNE, IN 46804-2883
Phone number: 260-436-5986
Mailing Address
Mrs. KIM MARIE SMITH LCSW, LMFT
3266 MALLARD COVE LN
FORT WAYNE, IN 46804-2883
Phone number: 260-436-5986