Individual
KELLY HARPER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2208 HIGHWAY 39 N, MERIDIAN, MS 39301
(601) 482-2400
(601) 485-2310
Mailing address
2208 HIGHWAY 39 N, MERIDIAN, MS 39301-2605
(601) 482-2400
(601) 485-2310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C8212
MS
Other
Enumeration date
05/16/2018
Last updated
07/18/2018
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