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1043826365
CASEY MICHAEL SMITH
CONCORD, NC
NPI
1043826365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C017329)
Enumeration Date
2020-09-22
Last Update Date
2024-08-27
Business Address
CASEY MICHAEL SMITH LCSW
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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Mailing Address
CASEY MICHAEL SMITH LCSW
2410 STRATFORD LAKE ROAD
WINSTON SALEM, NC 27103-1831
Phone number: 828-490-6307
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