Individual
KRISTY K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
110 PRESTON EXECUTIVE DR, SUITE 106, CARY, NC 27513-8447
(919) 386-0402
(919) 882-0931
Mailing address
5605 ALTA VISTA CT, RALEIGH, NC 27610-3261
(919) 386-0402
(919) 882-0931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C001338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003637
—
NC
Enumeration date
08/16/2006
Last updated
07/16/2015
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