Marissa Jane Hostin Smith, LCSW, MDIV

NPI #1841865938 in Lorena, Texas

Provider Information

NPI Number
1841865938
Entity Type
Individual
Name
Marissa Jane Hostin Smith, LCSW, MDIV
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, MDIV
Enumeration Date
May 21, 2021
Last Updated
May 21, 2021

Practice Location

Address
111 YORK DR
City
Lorena
State
Texas
ZIP Code
76655-9645
Phone
(817) 874-3928

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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