Individual
BRUCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
57 CHRISTIE AVE, MUNFORD, TN 38058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE0000001165
TN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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