Individual
CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WINCHESTER PL, SUITE 102, SPARTANBURG, SC 29301
(864) 576-7188
(864) 576-8909
Mailing address
519 POPLAR ST, SPARTANBURG, SC 29302-2738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167970135783
—
SC
Enumeration date
07/31/2013
Last updated
07/31/2013
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