Individual
MS. MELODY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
602 E SUMMIT ST, MARSHALL, MO 65340-2760
(660) 886-0103
Mailing address
602 E SUMMIT ST, MARSHALL, MO 65340-2760
(660) 886-0103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000173238
MO
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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