Individual
MRS. LISA ANNETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. IN IECE
Contact information
Practice address
1633 MURPHY RIDGE RD, STRUNK, KY 42649-9358
(606) 354-3818
Mailing address
1633 MURPHY RIDGE RD, STRUNK, KY 42649-9358
(606) 354-3818
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000071339
KY
Other
Enumeration date
01/01/2013
Last updated
08/16/2013
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