Provider First Line Business Practice Location Address:
1662 E BOOKER DAIRY RD
Provider Second Line Business Practice Location Address:
CAROLINA COUNSELING & CONSULTATION SERVICES, PA
Provider Business Practice Location Address City Name:
SMITHFIELD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27577-9405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-938-0046
Provider Business Practice Location Address Fax Number:
919-938-0056
Provider Enumeration Date:
12/05/2006