Individual
JUNIOR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1701 SW 16TH AVE BLDG B, GAINESVILLE, FL 32608-1153
(786) 590-8000
Mailing address
1701 SW 16TH AVE BLDG B, GAINESVILLE, FL 32608-1153
(786) 590-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104100000X
FL
Other
Enumeration date
01/27/2022
Last updated
02/04/2022
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