Individual
HOLLY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-5850
Mailing address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/18/2018
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