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Individual

MISS LOUISE D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1989 MADISON ST, CLARKSVILLE, TN 37043-5067
(931) 408-9909
Mailing address
401 SALEM RD, CLARKSVILLE, TN 37040-7819
(615) 587-2891

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253242
KY
1041C0700X
Clinical Social Worker
7438
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100524690
KY
Enumeration date
08/22/2011
Last updated
07/01/2019
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