Individual
MICHELLE SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 KY HIGHWAY 611, PIKEVILLE, KY 41501-4133
(606) 639-0216
Mailing address
160 KY HIGHWAY 611, PIKEVILLE, KY 41501-4133
(606) 639-0216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3671
KY
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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