Individual
JACQUELINE NICOLE SMULEVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW-1178
Contact information
Practice address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Mailing address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1178
WY
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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