Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 INDEPENDENCE BLVD, SARASOTA, FL 34234-2135
(941) 376-7520
Mailing address
124 SAN BENITO AVE, NORTH PORT, FL 34287-1442
(941) 376-7520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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