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1194306597
GWENDOLYN SMITH
LOUISVILLE, KY
NPI
1194306597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 269566)
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
GWENDOLYN SMITH
4010 DUPONT CIR STE 226
LOUISVILLE, KY 40207-4847
Phone number: 502-896-8006
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Mailing Address
GWENDOLYN SMITH
9911 MICHAEL EDWARD DR
LOUISVILLE, KY 40291-1160
Phone number: 502-302-2466
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