Lynne E Smithhart
Social Worker, Clinical in Jackson, MS. Individual provider (NPI-1).
NPI number1962029751
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1962029751
- Entity type
- Individual (NPI-1)
- Name
- Lynne E Smithhart
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C5905 | MS | Yes |
Practice location
1500 East Woodrow WilsonJackson, MS 39216
Phone 601-985-2193
Mailing address
2 Sandalwood DriveMadison, MS 39110
Phone 601-750-4654 · Fax 601-362-3153
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