Individual
MRS. SHASHONDIANDRINA JANISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 CEMETARY ST APT 13, RIPLEY, MS 38663-1453
(662) 882-2422
Mailing address
108 CEMETARY ST APT 13, RIPLEY, MS 38663-1453
(662) 882-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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