Individual
TINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6521
Mailing address
2129 STATESVILLE BLVD, SALISBURY, NC 28147-1411
(704) 633-3616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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