EDWARD L SMITH

SOUTHAVEN, MS
NPI1346098480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S-2758)
Additional Taxonomies172A00000X Driver
Enumeration Date2024-05-13
Last Update Date2024-07-21
Business Address
EDWARD L SMITH
9127 CORPORATE DR
SOUTHAVEN, MS 38671-1243
Phone number: 662-812-3685
Mailing Address
EDWARD L SMITH
9127 CORPORATE DR
SOUTHAVEN, MS 38671-1243
Phone number: 662-812-3685