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Individual

ESSENCE KEASIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 SPRINGDALE RD APT 105, ROCK HILL, SC 29730-7447
(803) 579-2710
Mailing address
1111 SPRINGDALE RD APT 105, ROCK HILL, SC 29730-7447

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
02/16/2023
Last updated
02/16/2023
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