NPI | 1619499159 |
---|---|
Doing Business As | THERESA HOCKENSMITH, LCSW |
Entity Type | Organization |
Authorized Contact | THERESA HOCKENSMITH Manager 859-361-0460 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252453) |
Enumeration Date | 2017-07-15 |
Last Update Date | 2017-08-02 |