Individual
STEPHANIE MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681-3399
(864) 963-3421
(864) 962-0758
Mailing address
107 LESTER AVE, GREENVILLE, SC 29617-7838
(864) 354-8485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9688
SC
1041C0700X
Clinical Social Worker
Primary
9688
SC
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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