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1528515483
JACKEY SMITH
PALMDALE, CA
NPI
1528515483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW73218)
Enumeration Date
2016-09-07
Last Update Date
2022-12-07
Business Address
Dr. JACKEY SMITH LCSW, PSYD
38127 VERSAILLES ST
PALMDALE, CA 93552-3523
Phone number: 661-917-1415
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Mailing Address
Dr. JACKEY SMITH LCSW, PSYD
415 PINENUT ST
OAKLEY, CA 94561-6343
Phone number: 661-917-1415
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