Most Relevant Information
Provider Data
| NPI Number: | 1003836743 |
| Provider Name: | MARY MAGDALENE SMITH M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 8385 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 07/15/2016 |
Provider Practice Location
1353 N WESTMORELAND RD
DALLAS
TX
752111655
Practice Location Phone/Fax
| Phone: | 4693875001 |
| Fax: | 4693875001 |
Provider Mailing Location
1380 RIVER BEND DR
DALLAS
TX
752474914
Provider Mailing Phone/Fax
| Phone: | 2147431272 |
| Fax: | 2147431272 |