Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C006975 | NC |
NPI | 1003089616 |
---|---|
Provider Name | William Reid Smithdeal |
First Address | Sylva, NC 28779-2187 |
Second Address | Sylva, NC 28779-5464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2008 |
Last Update Date | 21/10/2019 |