Provider Information for 1083937882
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Ms. SELMA SMITH NCC, LPC
Sex: Female
NPI: 1083937882
Last Updated: 2010-03-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1083937882 | ||||||||
| Enumeration Date | 2010-03-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1503 WOODWAY CLUB DR APT 424 DURHAM, NC 27713-8310 United States Phone: 919-358-6162 | Fax: | ||||||||
| Primary Practice Address | 2670 DURHAM CHAPEL HILL BLVD DURHAM, NC 27707-2829 United States Phone: 919-358-6162 | Fax: | ||||||||
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