Individual
MR. STUART WILSON SMYTHE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
USA MEDDAC, 650 JOEL DR, FORT CAMPBELL, KY 42223-5349
(270) 798-8601
(270) 798-8239
Mailing address
415 WILLOW CREEK DR, ELIZABETHTOWN, KY 42701-2941
(270) 798-8601
(270) 798-8239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0770
KY
Other
Enumeration date
02/21/2006
Last updated
10/28/2011
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