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1164837357
PAULA TIFFANY NICOLE SMALLWOOD
LEITCHFIELD, KY
NPI
1164837357
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Former Name
PAULA TIFFANY NICOLE STINNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: KY 201154945)
Enumeration Date
2014-06-25
Last Update Date
2022-09-21
Business Address
Miss PAULA TIFFANY NICOLE SMALLWOOD
109 HILLVIEW DR
LEITCHFIELD, KY 42754-1807
Phone number: 270-899-0175
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Mailing Address
Miss PAULA TIFFANY NICOLE SMALLWOOD
109 HILLVIEW DR
LEITCHFIELD, KY 42754-1807
Phone number: 270-899-0175
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