Individual
MISS PAULA TIFFANY NICOLE SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 HILLVIEW DR, LEITCHFIELD, KY 42754-1807
(270) 899-0175
Mailing address
109 HILLVIEW DR, LEITCHFIELD, KY 42754-1807
(270) 899-0175
(844) 688-4227
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201154945
KY
Other
Enumeration date
06/25/2014
Last updated
09/21/2022
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