Individual
JO ANNE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1590 S.E. N STREET, SUITE F, GRANTS PASS, OR 97526
(541) 660-7397
(541) 474-0514
Mailing address
1590 S.E. N STREET, SUITE F, GRANTS PASS, OR 97526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2796
OR
Other
Enumeration date
12/14/2006
Last updated
10/13/2021
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