Individual
MARY SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
225 E PRONG RD, RICHMOND, KY 40475-8917
(859) 527-7671
Mailing address
225 E PRONG RD, RICHMOND, KY 40475-8917
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
KY-2903
KY
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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