Individual
JEAN MILLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
312 E MARKET ST, LEESBURG, VA 20176-4100
(302) 897-2528
Mailing address
47561 ANCHORAGE CIR, STERLING, VA 20165-4716
(302) 897-2528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017562
VA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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