Individual
BEULAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 CALEVARES DR, LEXINGTON, KY 40514-1303
(606) 886-8572
(606) 886-4433
Mailing address
4321 CALEVARES DR, LEXINGTON, KY 40514-1303
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255640
KY
Other
Enumeration date
10/15/2018
Last updated
05/04/2022
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