Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
174 S CORONADO DR, SIERRA VISTA, AZ 85635-6353
(520) 442-2812
Mailing address
PO BOX 1300, HEREFORD, AZ 85615-1300
(520) 435-9025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMSW-22220
AZ
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
10/15/2024
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