Jessica Smith

NPI #1760918130 in La Fayette, Georgia

Provider Information

NPI Number
1760918130
Entity Type
Individual
Name
Jessica Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 4, 2017
Last Updated
May 4, 2017

Practice Location

Address
3582 E HIGHWAY 136
State
Georgia
ZIP Code
30728-6033
Phone
(423) 991-0034

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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