MISS Jalisa Shawtae Smith, LLMSW
NPI #1003631862 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003631862
- Entity Type
- Individual
- Name
- MISS Jalisa Shawtae Smith, LLMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- LLMSW
- Enumeration Date
- Nov 18, 2024
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 790 FULLER AVE NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-1918
- Phone
- (616) 336-3909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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