Individual
BIANCA GLAZE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSWA
Contact information
Practice address
608 W JOHNSON ST STE 5, RALEIGH, NC 27603-1242
(919) 299-1003
Mailing address
101 EMILY CT, GARNER, NC 27529-7644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013327
NC
Other
Enumeration date
12/15/2019
Last updated
01/03/2024
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