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Individual

MRS. CAROLINE C SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC

Contact information

Practice address
1717 HIGH ST, SUITE 2C, HOPKINSVILLE, KY 42240-6300
(270) 885-7023
(270) 881-3983
Mailing address
PO BOX 482, HOPKINSVILLE, KY 42241-0482
(270) 885-7023
(270) 881-3983

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0146
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000048406
BC/BS
KY
01
27739
BLUEGRASS
KY
Enumeration date
12/05/2007
Last updated
03/31/2017
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