Individual
PAMELA DAWN JACKSON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1220 WILLIS AVE, BOX 6, DAYTONA BEACH, FL 32114-2810
(386) 236-1652
Mailing address
1 FOLCROFT LN, PALM COAST, FL 32137-8495
(386) 447-8997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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