Individual
MRS. GLENDA WILSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. EDS
Contact information
Practice address
250 HYLE AVE, MURFREESBORO, TN 37128-8535
(615) 410-6311
Mailing address
250 HYLE AVE, MURFREESBORO, TN 37128-8535
(615) 410-6311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PE0000011477
TN
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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