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1568732154
MICHAEL DION SMALLWOOD
KINSTON, NC
NPI
1568732154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
-- MICHAEL DION SMALLWOOD MS, LCAS
2902 A NORTH HERITAGE ST
KINSTON, NC 28501
Phone number: 252-520-0034
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Mailing Address
-- MICHAEL DION SMALLWOOD MS, LCAS
9451 US HIGHWAY 17 N
WASHINGTON, NC 27889-5551
Phone number: 252-975-6373
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