Individual
AMY SMOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 WINCHESTER AVE, SUITE B, MONROE, NC 28110-3000
(919) 667-4165
Mailing address
3709 DANDRIDGE CIR, MATTHEWS, NC 28105-3525
(919) 667-4165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009462
NC
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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