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1457894784
TANWANDA SMITH
GASTONIA, NC
NPI
1457894784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 23592)
Enumeration Date
2016-11-17
Last Update Date
2018-10-31
Business Address
TANWANDA SMITH
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-865-1558
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Mailing Address
TANWANDA SMITH
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number:
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