# LORETTA SMALLWOOD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053669796
- **Gender:** F
- **Credential:** L.M.T

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 225700000X | Massage Therapist | 0683 | KY | — |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 07/10/2023