Individual
MS. DOROTHY T. W. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5455
Mailing address
2227 PINE AVE, GULFPORT, MS 39501-3259
(228) 863-9383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1157
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114007
—
MS
Enumeration date
06/12/2006
Last updated
07/08/2007
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