Individual
MS. JAN IRIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,BCD
Contact information
Practice address
6502 78TH ST, CABIN JOHN, MD 20818-1309
(301) 320-4825
Mailing address
6502 78TH ST, CABIN JOHN, MD 20818-1309
(301) 320-4825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05182
MD
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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