Individual
MR. LARRY JOSEPH SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBCC
Contact information
Practice address
827 OLD SPANISH TRL, BAY ST LOUIS, MS 39520-2204
(228) 467-8203
(228) 467-8203
Mailing address
827 OLD SPANISH TRL, BAY ST LOUIS, MS 39520-2204
(228) 467-8203
(228) 467-8203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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