Individual
JALISA NOEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 DONNELL BLVD, DALEVILLE, AL 36322-2104
(334) 709-4024
Mailing address
807 DONNELL BLVD, DALEVILLE, AL 36322-2104
(334) 709-4024
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RBT-24-364820
AL
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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