Individual
KATHIANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 3RD ST SW, ROANOKE, VA 24016-5205
(540) 343-3577
(540) 343-3866
Mailing address
911 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5355
(434) 984-0023
(434) 984-4852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005002
VA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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