Individual
CHACOLA LORRAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
7039 AGAVA LN, CHARLOTTE, NC 28215-7172
(336) 645-4868
Mailing address
7039 AGAVA LN, CHARLOTTE, NC 28215-7172
(336) 645-4868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018947
NC
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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