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1174165195
SALLY NISSA SMITH
FLORENCE, KY
NPI
1174165195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: KY 254374)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
SALLY NISSA SMITH LSW
8140 DREAM ST STE D
FLORENCE, KY 41042-7532
Phone number: 513-503-7544
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Mailing Address
SALLY NISSA SMITH LSW
3939 WOODGATE CT
ERLANGER, KY 41018-2923
Phone number: 513-503-7544
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