Individual
MRS. ASHLEY NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 CALLAWAY CIR, BYRAM, MS 39272-4521
(601) 201-3136
Mailing address
224 CALLAWAY CIRCLE, BYRAM, MS 39272
(601) 201-3136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3838
MS
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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