Individual
MRS. HOLLY GENEVA SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 SIDNEY DR, MT STERLING, KY 40353-1087
(859) 582-8321
Mailing address
175 SIDNEY DRIVE, MT. STERLING, KY 40353
(859) 582-8321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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