Most Relevant Information
Provider Data
| NPI Number: | 1003405408 |
| Provider Name: | JENNIFER MARIE SMITH LCSW-A |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | PO14192 |
Most Important Dates
| Enumeration Date: | 01/11/2021 |
| Last Updated: | 01/11/2021 |
Provider Practice Location
8562 NC HIGHWAY 105 S UNIT 102
BOONE
NC
286077879
Practice Location Phone/Fax
| Phone: | 8283334170 |
| Fax: | 8554044030 |
Provider Mailing Location
8562 NC HIGHWAY 105 S UNIT 102
BOONE
NC
286077879
Provider Mailing Phone/Fax
| Phone: | 9197605977 |
| Fax: | 8554044030 |