Individual
MR. JASON PHILLIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945981
WV
Other
Enumeration date
06/23/2023
Last updated
03/03/2025
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