Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR STE 226, LOUISVILLE, KY 40207-4847
(502) 965-9393
Mailing address
2011 MARY CATHERINE DR, LOUISVILLE, KY 40216-4739
(502) 965-9393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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