Individual
MANERVA ANGELICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 823-2345
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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