Individual
SHAMIRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587-6090
(919) 263-9592
Mailing address
1119 DOLLY ST, ROXBORO, NC 27573-4303
(336) 504-0846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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