Individual
JERI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
641 E POPLAR AVE, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Mailing address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 658-6113
(731) 645-9885
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT 592
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007934
—
TN
Enumeration date
09/22/2006
Last updated
09/24/2014
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