Most Relevant Information
Provider Data
NPI Number: | 1003252743 |
Provider Name: | ELIZABETH ANN SMITH |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | 1768 |
Most Important Dates
Enumeration Date: | 05/21/2013 |
Last Updated: | 05/21/2013 |
Provider Practice Location
2113 GOVERNMENT ST STE B4
OCEAN SPRINGS
MS
395643949
Practice Location Phone/Fax
Phone: | 2288756400 |
Fax: | 2288756400 |
Provider Mailing Location
2113 GOVERNEMTN ST STE B-4
OCEAN SPRINGS
MS
39564
Provider Mailing Phone/Fax
Phone: | 2288756400 |
Fax: | 2288756400 |