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Individual

MRS. MARYE BETHANI SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR INTERVTS.

Contact information

Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 585-7711
(864) 577-7568
Mailing address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 585-7711
(864) 577-7568

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MBS1980
SC
Enumeration date
04/15/2013
Last updated
04/15/2013
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