Individual
MRS. MARY HELEN HELEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2897 GREEN ST, MARIANNA, FL 32446-3307
(850) 703-0059
Mailing address
4620 OAKWOOD DR, MARIANNA, FL 32446-6574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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