Individual
MIRIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 FABER PLACE DR STE 300, NORTH CHARLESTON, SC 29405-8524
(260) 702-0360
(803) 658-0741
Mailing address
8 S TRACY ST, CHARLESTON, SC 29403-4720
(843) 860-8316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1051
SC
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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