Individual
JESSICA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 S MARKET ST STE 2A, WICHITA, KS 67202-3824
(316) 361-0662
(844) 766-7540
Mailing address
100 S MARKET ST STE 2A, WICHITA, KS 67202-3824
(316) 361-0662
(844) 766-7540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11493
KS
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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