Individual
MR. TARIQ JABIR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
3701 BOEINGSHIRE DR, MEMPHIS, TN 38116-5053
(901) 482-4358
(901) 369-1433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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