Jessie Rosanne Smith LCSW

NPI 1063766830 - Social Worker - 1041C0700X

NPI Details
NPI 1063766830
Gender Female
Enumeration Date 11/01/2012
Last Updated 11/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3778 N MERIDIAN RD
OLNEY IL, 62450-4815, US
Phone (618) 839-4871
Fax
Business Location
3778 N MERIDIAN RD
OLNEY IL, 62450-4815, US
Phone (618) 839-4871
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.013667
Remove 1063766830 NPI Number
 

According to our database, Mrs. Jessie Rosanne Smith LCSW NPI is 1063766830, taxonomy code is 1041C0700X and license number is 149.013667, license state is located at Illinois. Jessie Rosanne Smith LCSW physically located at 3778 N Meridian Rd, Olney IL, 62450-4815. NPI Number Jessie Rosanne Smith LCSW has the Individual type.

Sponsored links

1063766830 NPI number is provided on an as is basis without warranty of any kind. 1063766830 is maintained by the National Plan & Provider Enumeration System. The contents of Jessie Rosanne Smith LCSW are for informational purposes only.