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Individual

SARAH E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
253089
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100551510
KY
Enumeration date
11/18/2014
Last updated
09/24/2018
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