Individual
KRISTEN RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 BILLS CREEK RD, WINFIELD, WV 25213-9778
(304) 941-3701
Mailing address
1450 BILLS CREEK RD, WINFIELD, WV 25213-9778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1765
WV
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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