Individual
MADOLYN BOYD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 LAKE BARNETT DR, BRANDON, MS 39047-6277
(601) 720-4113
Mailing address
35 LAKE BARNETT DR, BRANDON, MS 39047-6277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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