Individual
TOMMY WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 809-3191
(251) 809-8215
Mailing address
1305 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 809-3191
(251) 809-8215
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
224
AL
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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