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Individual

MS. JENNIFER J. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3900 OSUNA RD NE, SUITE 245 AND 222, ALBUQUERQUE, NM 87109-4459
(505) 344-2877
(505) 342-4416
Mailing address
6721 ACADEMY RD NE, SUITE A, ALBUQUERQUE, NM 87109-3393
(505) 944-6927
(505) 342-4416

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NM600724
NM

Other

Enumeration date
09/15/2009
Last updated
09/15/2009
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