Individual
VICTOR DIMETRI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 CITY HALL LN, NORTH CHARLESTON, SC 29406-6538
(843) 577-5011
Mailing address
131 BRANDIMERE DR, GROVETOWN, GA 30813-2808
(706) 421-7592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12414
SC
104100000X
Social Worker
X-10412
NM
1041C0700X
Clinical Social Worker
Primary
180456
CA
Other
Enumeration date
04/03/2018
Last updated
10/09/2020
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