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Individual
MRS. SONJA R BUCKLES-SMITH
Active
Individual
MRS. SONJA R BUCKLES-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9891
NC
101YM0800X
Mental Health Counselor
Primary
S9891
NC
101YP2500X
Professional Counselor
9891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005959500
—
MD
05
—
6115145
—
NC
Enumeration date
01/20/2007
Last updated
09/16/2020
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