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Individual

SARAH SUZANNE SMIRTHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608
Mailing address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7393
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08685769
MS
Enumeration date
10/21/2015
Last updated
02/23/2023
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