Individual
TARA VICTORIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 COMMERCE RD, JACKSONVILLE, NC 28546-7505
(252) 557-0444
Mailing address
2424 COMMERCE RD, JACKSONVILLE, NC 28546-7505
(252) 557-0444
(252) 557-0445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P017006
NC
1041C0700X
Clinical Social Worker
P017006
NC
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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