Individual
STACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, EDD
Contact information
Practice address
1211 UNION AVE FL 7, MEMPHIS, TN 38104-6638
(202) 487-0818
Mailing address
1211 UNION AVE FL 7, MEMPHIS, TN 38104-6638
(202) 487-0818
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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