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Individual

ELIZABETH ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2113 GOVERNMENT ST STE B4, OCEAN SPRINGS, MS 39564-3949
(228) 875-6400
(228) 875-6400
Mailing address
2113 GOVERNEMTN ST STE B-4, OCEAN SPRINGS, MS 39564
(228) 875-6400
(228) 875-6400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1768
MS

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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