Individual
MRS. KATHLEEN E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4963
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
046190
NY
Other
Enumeration date
03/17/2011
Last updated
12/22/2014
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