Individual
MRS. JESSICA LYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6385 CHASSE KNL, ORANGE, TX 77632-1507
(919) 900-0373
Mailing address
6385 CHASSE KNL, ORANGE, TX 77632-1507
(919) 900-0373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TX
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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