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Individual

KEVIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1708 TRAWICK RD, SUITE 101, RALEIGH, NC 27604-3897
(919) 896-7536
Mailing address
1708 TRAWICK RD, SUITE 101, RALEIGH, NC 27604-3897

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9030A
NC

Other

Enumeration date
12/02/2013
Last updated
12/02/2013
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