Individual
JESSICA LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2351 25TH ST UNIT B, ALAMOGORDO, NM 88310-8722
(575) 446-5321
(575) 446-5309
Mailing address
260 BOSQUE, ALAMOGORDO, NM 88310-9554
(575) 551-1757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11487
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0334
NM
Other
Enumeration date
07/09/2021
Last updated
05/13/2026
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