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Individual

TRACY LYNETTE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 SEARGENT DR, NATCHEZ, MS 39120-4782
(604) 304-5567
Mailing address
55 SEARGENT DR, NATCHEZ, MS 39120-4782

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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  • EDI platform