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Provider Information for 1073942991


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JOY L. DOZIER SMITH


Sex: Female

NPI: 1073942991
Last Updated: 2013-11-05
Certification Date:

Details

NameValue
NPI1073942991
Enumeration Date2013-11-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1363 AKRON OAKS DRIVE
ORANGE PARK, FL 32065
United States

Phone: 202-497-5633 | Fax:
 
Primary Practice Address 1363 AKRON OAKS DRIVE
ORANGE PARK, FL 32065
United States

Phone: 202-497-5633 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalFLSW11417