Individual
KATHERINE MACKEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPED
Contact information
Practice address
140 KENSINGTON PL, SYRACUSE, NY 13210-3010
(315) 380-4444
Mailing address
140 KENSINGTON PL, SYRACUSE, NY 13210-3010
(315) 380-4444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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