Individual
STACEY LYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ADAMS AVE, MEMPHIS, TN 38105-4902
(901) 222-2947
Mailing address
600 ADAMS AVE, MEMPHIS, TN 38105-4902
(901) 222-2947
(901) 222-2916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TN
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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