Individual
MR. ROBERT JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-5122
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-5122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1787-C
AR
1041C0700X
Clinical Social Worker
Primary
C2599
MS
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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