Individual
MRS. ANNA F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
503 COVIL AVE, SUITE 102, WILMINGTON, NC 28403-2684
(910) 332-5734
(910) 332-5739
Mailing address
503 COVIL AVE, SUITE 102, WILMINGTON, NC 28403-2684
(910) 332-5734
(910) 332-5739
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2480
NC
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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