Individual
JACQUELYN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
344 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-1948
(202) 483-8196
Mailing address
5909 CLEVELAND AVE, RIVERDALE, MD 20737-1929
(781) 901-9279
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30288
MD
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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