Jill Elizabeth Smith LICSW

NPI 1306013826 - Social Worker - 1041C0700X

NPI Details
NPI 1306013826
Gender Female
Enumeration Date 05/14/2008
Last Updated 05/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
12425 RIVER RIDGE BLVD
#200
BURNSVILLE MN, 55337-4871, US
Phone (952) 562-8500
Fax (952) 562-8501
Business Location
1409 GETTYSBURG AVE N
GOLDEN VALLEY MN, 55427-3816, US
Phone (763) 595-9665
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 13702
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According to our database, Mrs. Jill Elizabeth Smith LICSW NPI is 1306013826, taxonomy code is 1041C0700X and license number is 13702, license state is located at Minnesota. Jill Elizabeth Smith LICSW physically located at 12425 River Ridge Blvd, Burnsville MN, 55337-4871. NPI Number Jill Elizabeth Smith LICSW has the Individual type.

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1306013826 NPI number is provided on an as is basis without warranty of any kind. 1306013826 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Elizabeth Smith LICSW are for informational purposes only.