Individual
DONNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3096 S HORNER BLVD # 278, SANFORD, NC 27332-9644
(678) 637-1080
Mailing address
3096 S HORNER BLVD STE 278, SANFORD, NC 27332-9644
(678) 637-1080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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