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Jessica Griswold Smith, LCSW

Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).

NPI number1164093647
StatusActive
Last updated in NPPESJul 7, 2021

Details

NPI
1164093647
Entity type
Individual (NPI-1)
Name
Jessica Griswold Smith
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 7, 2021
Certification date
Jul 7, 2021
Last updated
Jul 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC013068NCYes

Practice location

5203 Sharon Rd
Charlotte, NC 28210-4721

Phone 704-554-9900

Mailing address

5356 Coburg Ave
Charlotte, NC 28215-2202

Phone 704-724-0476

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