Individual
LUCY DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4805 W 4TH ST, HATTIESBURG, MS 39402-1019
(601) 270-6968
Mailing address
713 MORRIS TULLOS DR, MORTON, MS 39117-3110
(601) 606-8006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3637
MS
Other
Enumeration date
05/25/2014
Last updated
10/18/2019
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