Individual
SHANEA LAUREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
227 W MOREHEAD ST, REIDSVILLE, NC 27320-3872
(336) 908-3927
Mailing address
5318 FOX COVE LN APT E, GREENSBORO, NC 27407-5967
(252) 876-3056
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12249A
NC
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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