Individual
AUTUMN N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Mailing address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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