Individual
JAMELYN SUZANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 CALDWELL ST, GREENVILLE, AL 36037-2507
(334) 301-1193
Mailing address
PO BOX 98, GREENVILLE, AL 36037-0098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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