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Individual

STEVEN A SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
340 STATELINE RD W, SOUTHAVEN, MS 38671-1610
(615) 417-9894
Mailing address
3268 BANNOCKBURN RD, MEMPHIS, TN 38128-2935
(901) 210-1706

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/05/2021
Last updated
03/05/2021
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