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NPI Profile for MARY E SMITH in BOONEVILLE, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Professional |
101YP2500X |
| NPI # | 1639355795 |
|
| Status | Active | |
| Credentials | CMHT, LPC | |
| Entity | Individual | |
| Enumeration date | 01/18/2008 | |
| Last updated | 07/10/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY E SMITH
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MARY E SMITH, CMHT, LPC