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1629580642
GINA SMITH
TUPELO, MS
NPI
1629580642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C1397)
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
GINA SMITH LCSW
1665 S GREEN ST
TUPELO, MS 38804-6556
Phone number: 662-377-2189
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Mailing Address
GINA SMITH LCSW
1665 S GREEN ST
TUPELO, MS 38804-6556
Phone number: 662-377-2189
Copy
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