MISTY LANE SMITH

IUKA, MS
NPI1790961084
Former NameMISTY LANE DICKERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-01-16
Last Update Date2018-04-27
Business Address
MISTY LANE SMITH PCMHT
1213 MARIA LN
IUKA, MS 38852-1135
Phone number: 662-423-3332
Mailing Address
MISTY LANE SMITH PCMHT
PO BOX 839
CORINTH, MS 38835-0839
Phone number: 662-286-2152
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