Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2132 S 12TH ST, ALLENTOWN, PA 18103-4810
(484) 350-3001
Mailing address
1534 COLGATE DR, BETHLEHEM, PA 18017-9148
(484) 788-4868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
05/19/2020
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