Most Relevant Information
Provider Data
| NPI Number: | 1003229048 |
| Provider Name: | JESSICA SMITH MSW,LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C008908 |
Most Important Dates
| Enumeration Date: | 06/07/2014 |
| Last Updated: | 06/07/2014 |
Provider Practice Location
215 MEMORIAL DR
JACKSONVILLE
NC
285466333
Practice Location Phone/Fax
| Phone: | 9103535118 |
| Fax: |
Provider Mailing Location
215 MEMORIAL DR
JACKSONVILLE
NC
285466333
Provider Mailing Phone/Fax
| Phone: | 9103535118 |
| Fax: |