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Individual
MS. JEANETTE E SMITH
Active
Individual
MS. JEANETTE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097335
NY
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
075613-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00398370
—
NY
05
—
1437170222
—
NY
Enumeration date
07/21/2006
Last updated
01/30/2025
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