Individual
JENNIFER LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 E OLIN AVE STE 275, MADISON, WI 53713-1475
(608) 262-1111
(608) 263-9045
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131102
WI
1041C0700X
Clinical Social Worker
Primary
9801-123
WI
Other
Enumeration date
11/26/2019
Last updated
12/15/2022
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