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Individual

SERENA E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 391-6224
Mailing address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 391-6224

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
276065
KY

Other

Enumeration date
04/26/2022
Last updated
01/17/2023
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