Individual
JESSI DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945143
WV
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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