Individual
AMY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
861 CORPORATE DR, LEXINGTON, KY 40503-5432
(859) 971-2585
(859) 971-7594
Mailing address
861 CORPORATE DR, LEXINGTON, KY 40503-5432
(859) 971-2585
(859) 971-7594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/24/2007
Last updated
03/15/2016
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