TRACIE D SMITH

PADUCAH, KY
NPI1033478458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2012-05-04
Last Update Date2012-05-04
Business Address
-- TRACIE D SMITH
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-444-3620
Mailing Address
-- TRACIE D SMITH
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: