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1104573146
LAVORICE SMITH
WINSTON SALEM, NC
NPI
1104573146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CADC-25140)
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
LAVORICE SMITH CADC
650 HIGHLAND AVE # 100
WINSTON SALEM, NC 27101-4304
Phone number: 336-607-8523
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Mailing Address
LAVORICE SMITH CADC
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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