Individual
MRS. KATHY MARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5440 LAKE SHORE DR, ERIE, PA 16505-1262
(814) 392-4756
Mailing address
5440 LAKE SHORE DR, ERIE, PA 16505-1262
(814) 392-4756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001427191
PA
Other
Enumeration date
10/11/2007
Last updated
05/10/2016
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