Individual
MS. GRACE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30 E MAIN ST, CAMDEN, TN 38320-1734
(731) 584-1430
(731) 584-1439
Mailing address
1009 MANLEY ST, PARIS, TN 38242-4915
(713) 584-1430
(731) 584-1439
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0000006739
TN
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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