Individual
MS. LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL ED. TEACHER
Contact information
Practice address
315 HOLLAND AVE, SENECA, SC 29678-3600
(864) 886-4400
Mailing address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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