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Organization
JSC INCORPORATED
Active
Organization
JSC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE N SMITH LCSW (OWNER)
(309) 300-3072
Entity
Organization
Contact information
Practice address
2103 E WASHINGTON ST BLDG 3, BLOOMINGTON, IL 61701-4310
(309) 300-3072
Mailing address
2103 E WASHINGTON ST BLDG 3, BLOOMINGTON, IL 61701-4310
(309) 300-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
04/23/2020
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