MRS. Jessie Rosanne Smith, LCSW

NPI #1063766830 in Olney, Illinois

Provider Information

NPI Number: 1063766830
Entity Type: Individual
Name: MRS. Jessie Rosanne Smith, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 1, 2012
Last Updated: Nov 1, 2012

Practice Location

Address: 3778 N MERIDIAN RD
City: Olney
State: Illinois
ZIP Code: 62450-4815
Phone: (618) 839-4871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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