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1427430750
TERESA LYNNE SMITH
WILMINGTON, NC
NPI
1427430750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC CSAC-15758)
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
TERESA LYNNE SMITH CSAC
4150 BREEZEWOOD DR APT. 203
WILMINGTON, NC 28412-2564
Phone number: 919-631-5181
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Mailing Address
TERESA LYNNE SMITH CSAC
4150 BREEZEWOOD DR APT. 203
WILMINGTON, NC 28412-2564
Phone number: 919-631-5181
Copy
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