Most Relevant Information
Provider Data
| NPI Number: | 1003080821 |
| Provider Name: | SUE ANN JOY-SMITH ASW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/14/2008 |
| Last Updated: | 02/11/2014 |
Provider Practice Location
1201 N EL DORADO ST
STOCKTON
CA
952021306
Practice Location Phone/Fax
| Phone: | 2094683760 |
| Fax: |
Provider Mailing Location
1212 N CALIFORNIA ST
STOCKTON
CA
952021552
Provider Mailing Phone/Fax
| Phone: | 2094688700 |
| Fax: |