Individual
LISA V SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-3136
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-3136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
12/14/2009
Last updated
12/14/2009
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