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Individual

LISA MARIA SMALLWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC,CAC II, NCAC

Contact information

Practice address
5422 PINEFIELD RD, SUMTER, SC 29154-1020
(803) 316-0402
Mailing address
5422 PINEFIELD RD, SUMTER, SC 29154-1020
(803) 316-0402

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5061
SC

Other

Enumeration date
03/21/2011
Last updated
03/21/2011
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