Individual
MRS. JILL ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12425 RIVER RIDGE BLVD, #200, BURNSVILLE, MN 55337-4871
(952) 562-8500
(952) 562-8501
Mailing address
1409 GETTYSBURG AVE N, GOLDEN VALLEY, MN 55427-3816
(763) 595-9665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13702
MN
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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