Most Relevant Information
Provider Data
| NPI Number: | 1003584384 |
| Provider Name: | CHERISA GAIL SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2021 |
| Last Updated: | 09/01/2021 |
Provider Practice Location
101 BULLDOG LN
HAZARD
KY
417016081
Practice Location Phone/Fax
| Phone: | 8592541035 |
| Fax: |
Provider Mailing Location
2250 THUNDERSTICK DR STE 1104
LEXINGTON
KY
405059009
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |