Individual
JULIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 GRANT LINE RD STE 15, NEW ALBANY, IN 47150-2175
(502) 417-9830
Mailing address
5014 LAUGHLIN AVE, LOUISVILLE, KY 40214-2735
(502) 792-2019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/06/2012
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