Most Relevant Information
Provider Data
| NPI Number: | 1003533902 |
| Provider Name: | JOSHUA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P018422 |
Most Important Dates
| Enumeration Date: | 10/21/2022 |
| Last Updated: | 10/21/2022 |
Provider Practice Location
104 JONATHON TRL
SHELBY
NC
281508135
Practice Location Phone/Fax
| Phone: | 7042060001 |
| Fax: |
Provider Mailing Location
104 JONATHON TRL
SHELBY
NC
281508135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |