Individual
MARY CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
780 NW BROAD ST STE 310A, SOUTHERN PINES, NC 28387-4102
(910) 990-1060
Mailing address
80 RIDGEWOOD RD, PINEHURST, NC 28374-9554
(229) 376-8154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P017996
NC
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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