Individual
REGINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 CARROLL DR, HAZLEHURST, MS 39083-2036
(601) 894-2018
(601) 894-1748
Mailing address
793 N CHURCH ST, FLORENCE, MS 39073-8265
(769) 798-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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