Individual
MR. CHRISTOPHER BANKS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1004 BROAD ST, DURHAM, NC 27705-4144
(919) 643-2631
Mailing address
1004 BROAD ST, DURHAM, NC 27705-4144
(919) 643-2631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002192
—
NC
Enumeration date
12/08/2006
Last updated
07/08/2007
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