Individual
DR. JESSICA SKY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
103 N BROAD ST, MANKATO, MN 56001-3519
(507) 345-7012
Mailing address
301 N. BROAD ST., MANKATO, MN 56001
(507) 951-3874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20593
MN
Other
Enumeration date
10/12/2012
Last updated
11/07/2018
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