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1639866494
KEOTIA EVETTE SMITHERMAN CASTERLOW
WINSTON SALEM, NC
NPI
1639866494
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Former Name
KEOTIA EVETTE SMITHERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A18588)
Enumeration Date
2023-04-21
Last Update Date
2023-04-27
Business Address
KEOTIA EVETTE SMITHERMAN CASTERLOW LCMHCA
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103-1534
Phone number: 336-509-7616
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Mailing Address
KEOTIA EVETTE SMITHERMAN CASTERLOW LCMHCA
1592 CANDACE RIDGE DR
GREENSBORO, NC 27406-8595
Phone number: 336-509-7616
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