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1952174740
JONATHAN W SMITH
CLEMMONS, NC
NPI
1952174740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19048)
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
JONATHAN W SMITH
3540 CLEMMONS RD STE 70
CLEMMONS, NC 27012-9394
Phone number: 336-303-8642
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Mailing Address
JONATHAN W SMITH
2800 HERMITAGE DR
WINSTON SALEM, NC 27103-4206
Phone number: 336-303-8642
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