Individual
JAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MATS
Contact information
Practice address
4847 E VIRGINIA ST, EVANSVILLE, IN 47715-2611
(866) 755-4258
Mailing address
960 E BLACKFORD AVE, EVANSVILLE, IN 47713-2278
(812) 604-6777
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
02/20/2018
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