Individual
ELIZABETH MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW QP
Contact information
Practice address
6257 ROBERTS DR, LA GRANGE, NC 28551-6805
(919) 709-6340
(252) 566-9440
Mailing address
6257 ROBERTS DR, LA GRANGE, NC 28551-6805
(919) 709-6340
(252) 566-9440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-2559
NC
Other
Enumeration date
08/10/2009
Last updated
09/07/2018
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