Individual
MS. MIRANDA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 754-9763
Mailing address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 754-9763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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