Organization
COUNTY OF IREDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA Y SMITH (DSS DIRECTOR)
(704) 878-5000
Entity
Organization
Contact information
Practice address
549 EASTSIDE DR, STATESVILLE, NC 28625-6317
(704) 873-5631
(704) 871-3489
Mailing address
549 EASTSIDE DR, STATESVILLE, NC 28625-6317
(704) 873-5631
(704) 871-3489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408475
—
NC
Enumeration date
10/01/2009
Last updated
06/05/2023
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