CRYSTAL G SMIDDY

JELLICO, TN
NPI1942531850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2010-01-18
Last Update Date2019-05-20
Business Address
Mrs. CRYSTAL G SMIDDY
286 HATFIELD ST
JELLICO, TN 37762-2616
Phone number: 606-280-5955
Mailing Address
Mrs. CRYSTAL G SMIDDY
286 HATFIELD ST
JELLICO, TN 37762-2616
Phone number: 606-280-5955