Individual
MRS. MELISSA GAIL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
60 SUNRISE DR, LEBANON, KY 40033-8209
(270) 465-1005
Mailing address
60 SUNRISE DR, LEBANON, KY 40033-8209
(270) 465-1005
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
02/06/2024
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