Jaquica Smith

NPI 1467187922 · on the registry since 2022 · sole proprietor

Practice

Address: 200 N Patrick Blvd Ste 250
Brookfield, WI 53045
Phone: (888) 754-0398
Organisation at this address: Inbloom Autism
Vocational Development Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 151

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin