Individual
MACY GRACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 KY 225, BARBOURVILLE, KY 40906-7759
(606) 619-4086
(606) 545-9555
Mailing address
415 KY 225, BARBOURVILLE, KY 40906-7759
(606) 619-4086
(606) 545-9555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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