Individual
MEGAN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11 WOODSTONE PLAZA, HATTIESBURG, MS 39402
Mailing address
860 EAST RIVER PLACE, STE 100, JACKSON, MS 39202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M7651
MS
Other
Enumeration date
12/09/2019
Last updated
12/11/2019
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