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Individual
MR. JIMMY LEE SMITH JR.
Active
Individual
MR. JIMMY LEE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23353
NC
1041C0700X
Clinical Social Worker
Primary
C010442
NC
Other
Enumeration date
10/01/2013
Last updated
03/01/2019
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