Provider Information for 1356793574
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Mrs. ERIN L SMITH LPCA
Sex: Female
NPI: 1356793574
Last Updated: 2016-07-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356793574 | ||||||||||||
| Enumeration Date | 2016-07-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 321 RINGGOLD RD SOMERSET, KY 42503-3900 United States Phone: 859-552-5942 | Fax: | ||||||||||||
| Primary Practice Address | 548 HINTON SADIEVILLE RD SADIEVILLE, KY 40370-9717 United States Phone: 859-552-5942 | Fax: | ||||||||||||
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