Individual
CASAEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3108 TRACE CREEK RD, MC EWEN, TN 37101-4952
(931) 622-1950
Mailing address
3108 TRACE CREEK RD, MC EWEN, TN 37101-4952
(931) 622-1950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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