Individual
HOLLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 MONROE ST APT A, SOUTH CHARLESTON, WV 25303-1646
(304) 932-8712
Mailing address
207 MONROE ST APT A, SOUTH CHARLESTON, WV 25303-1646
(304) 932-8712
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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