Individual
ELLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST, 202, PADUCAH, KY 42001-0713
(270) 442-8039
Mailing address
425 BROADWAY ST, 202, PADUCAH, KY 42001-0713
(270) 442-8039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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