Individual
KALLIE JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
448 LEWIS HARGETT CIR STE 260, LEXINGTON, KY 40503-3506
(859) 338-0466
Mailing address
448 LEWIS HARGETT CIR STE 260, LEXINGTON, KY 40503-3506
(859) 338-0466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259186
KY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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