Individual
LISA SMART ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
160 PINEHURST AVE, J, SOUTHERN PINES, NC 28387-6352
(910) 693-7777
(910) 693-1524
Mailing address
973 BLACKEYED SUSAN PL, VASS, NC 28394-8412
(910) 245-3260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C003019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002370
—
NC
Enumeration date
10/12/2006
Last updated
07/09/2007
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