Individual
JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
503 E RAILROAD AVE, SUMMIT, MS 39666-9210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1081
MS
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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