Individual
CHARLES BEIVEN SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
(502) 451-1221
(502) 451-1337
Mailing address
10515 EVANWOOD DR, LOUISVILLE, KY 40228-1965
(502) 451-1221
(502) 451-1337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255427
KY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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