Individual
LORETTA SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
411 RICHMOND RD, MANCHESTER, KY 40962-1212
(606) 391-3584
Mailing address
313 TOWN BRANCH RD, MANCHESTER, KY 40962-1326
(606) 599-9425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225700000X
Massage Therapist
0683
KY
Other
Enumeration date
08/28/2012
Last updated
07/10/2023
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