Individual
BARBARA JEANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
19478 HIGHWAY 314, BELEN, NM 87002-8223
(505) 859-0814
Mailing address
PO BOX 323, JARALES, NM 87023-0323
(505) 859-0814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2548
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000706378
—
NM
Enumeration date
05/10/2007
Last updated
12/30/2013
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