Individual
JASON B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
419 6TH ST, JUNEAU, AK 99801-1020
(907) 463-6180
Mailing address
9244 GEE STREET, JUNEAU, AK 99801
(907) 523-0712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW
AK
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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