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Individual

CHERISH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
402 LEGACY PARK, RIDGELAND, MS 39157-4315
(729) 233-7154
Mailing address
116 TARA DR, FLORA, MS 39071-9216
(601) 879-0036

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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