Individual
BRIDGETTE MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 L CONLEY CEM RD, MOUSIE, KY 41839-8919
(606) 946-2591
Mailing address
PO BOX 203, 270 L CONLEY CEMETARY RD, MOUSIE, KY 41839-0203
(606) 946-2591
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
273320
KY
Other
Enumeration date
05/07/2007
Last updated
09/24/2021
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