Individual
MEGAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3457 S GREENSBURG RD, LIBERTY, MS 39645-9580
(601) 657-4364
Mailing address
7173A MOAK RD, SUMMIT, MS 39666-7505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12133854
MS
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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