Individual
DR. STANLEY GEORGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1015 TERMINAL DR, N/A, MOSELLE, MS 39459-9546
(601) 545-8006
(601) 545-1867
Mailing address
1015 TERMINAL DR, N/A, MOSELLE, MS 39459-9546
(601) 545-8006
(601) 545-1867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0496
MS
Other
Enumeration date
06/07/2009
Last updated
06/07/2009
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