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Individual
GRACE KIMBURI SMITH
Active
Individual
GRACE KIMBURI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C008449
NC
1041C0700X
Clinical Social Worker
Primary
C008449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C008449
NC LCSW CERTIFICATION
NC
Enumeration date
01/24/2008
Last updated
08/14/2020
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