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Individual

JESSICA DELISC SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
7606 MAIN ST, GROVETOWN, GA 30813-1216
(706) 836-0023
Mailing address
7606 MAIN ST, GROVETOWN, GA 30813-1216
(706) 836-0023

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
12656
SC
104100000X
Social Worker
Primary
MSW008454
GA

Other

Enumeration date
10/23/2018
Last updated
10/23/2018
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