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Individual

KASHANDA SMITH RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1301 CAROLINA ST, SUITE 114, GREENSBORO, NC 27401-1032
(336) 272-1200
Mailing address
3 VODINGTON CIR, GREENSBORO, NC 27405-9727
(318) 235-7469

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7205
NC

Other

Enumeration date
03/07/2009
Last updated
03/07/2009
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