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Individual

DENISE MICHELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 BW THOMAS DR, FORT MILL, SC 29708-7230
(843) 478-4187
Mailing address
1409 SHAMROCK DR, CHARLOTTE, NC 28205-2547
(704) 977-3581

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
06/23/2017
Last updated
06/23/2017
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