Individual
DAKOTA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
172 S CLEMENT ST, MOCKSVILLE, NC 27028-2336
(336) 753-6440
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014408
NC
Other
Enumeration date
02/20/2020
Last updated
10/14/2021
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