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Individual

ALICIA MICHELLE LASSITER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1319 N BRIGHTLEAF BLVD STE F, SMITHFIELD, NC 27577-4876
(919) 934-1312
Mailing address
1319 N BRIGHTLEAF BLVD STE F, SMITHFIELD, NC 27577-4876
(919) 934-1080
(919) 934-1319

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28146
NC
1041C0700X
Clinical Social Worker
Primary
P017883
NC

Other

Enumeration date
07/05/2022
Last updated
07/14/2022
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