Individual
MARLISA NESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 HAMPTON AVE, MANNING, SC 29102-3015
(803) 225-0941
(803) 478-4161
Mailing address
209 HAMPTON AVE, MANNING, SC 29102-3015
(803) 225-0941
(803) 478-4161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/15/2016
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