Individual
JAMIE MICHELLE WILES-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 855-4292
(574) 635-3201
Mailing address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 855-4292
(574) 635-3201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004729A
IN
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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