Individual
JACQUELENE STINSON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6246 W BROADWAY STE 200, MCCORDSVILLE, IN 46055-9572
(317) 253-7387
Mailing address
PO BOX 361327, INDIANAPOLIS, IN 46236-1327
(317) 253-7387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
06/22/2020
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