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1740324904
IVAN MCKINLEY SMITH
KANNAPOLIS, NC
NPI
1740324904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P002751)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
-- IVAN MCKINLEY SMITH P-LCSW
1305 S CANNON BLVD
KANNAPOLIS, NC 28083-6232
Phone number: 704-939-1166
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Mailing Address
-- IVAN MCKINLEY SMITH P-LCSW
1305 S CANNON BLVD
KANNAPOLIS, NC 28083-6232
Phone number:
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