Individual
VALERIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 SHORE LAKE DR APT A, GREENSBORO, NC 27455-1452
(336) 676-4558
Mailing address
112 SHORE LAKE DR APT A, GREENSBORO, NC 27455-1452
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
NC
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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