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Samantha Smith, LCSW

NPI 1861063794 · on the registry since 2021 · sole proprietor

Practice

Address
1110 Grand Ave
Jackson, MS 39203
Phone
(601) 339-0032

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
MS, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi