Individual
JESSICA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 TUTTLE RD., MIDDLETOWN, CT 06457
(860) 398-7482
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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