Individual
WANDA L RICE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-1692
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-1692
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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