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Individual

RHONDA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DSW LCSW SAP

Contact information

Practice address
2119 W 10TH ST, LAUREL, MS 39440-2535
(601) 580-4267
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6165
(601) 399-6281

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M7817
MS
1041C0700X
Clinical Social Worker
Primary
C7817
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01623749
MS
Enumeration date
10/03/2014
Last updated
06/17/2025
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