Individual
CASEY MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Mailing address
2410 STRATFORD LAKE ROAD, WINSTON SALEM, NC 27103-1831
(828) 490-6307
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C017329
NC
Other
Enumeration date
09/22/2020
Last updated
08/27/2024
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