Individual
DONIELLE JAVONTAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SUMMIT CROSSING PL STE 305, GASTONIA, NC 28054-2176
(704) 387-5447
Mailing address
620 SUMMIT CROSSING PL STE 305, GASTONIA, NC 28054-2176
(704) 387-5447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015595
NC
Other
Enumeration date
12/01/2016
Last updated
04/19/2023
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