| 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 |