Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 681-3476
Mailing address
604 BEAR VALLEY CT, COLUMBIA, MO 65202-1936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016007567
MO
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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