Individual
TAMARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 GREGG HWY, AIKEN, SC 29801-6341
(803) 641-7700
(803) 641-7713
Mailing address
1135 GREGG HWY, AIKEN, SC 29801-6341
(803) 641-7720
(803) 641-7248
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8964
SC
Other
Enumeration date
11/30/2006
Last updated
10/09/2007
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