Individual
MS. JENNIFER SWENSON SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8961 DANIELS CENTER DR, FORT MYERS, FL 33912-0314
(239) 433-6700
Mailing address
8961 DANIELS CENTER DR, FORT MYERS, FL 33912-0314
(239) 433-6700
(239) 433-6703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
251B00000X
Case Management Agency
S520437688440
FL
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
07/07/2008
Last updated
01/05/2023
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