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Individual

MS. EBONE TENISHA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9451 COATS RD, LINDEN, NC 28356-9563
(910) 694-8987
Mailing address
3011 TOWN CENTER DR. SUITE 130 UNIT #142, FAYETTEVILLE, NC 28306
(910) 694-8987

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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