Individual
MS. SALLY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW ACP
Contact information
Practice address
150 BW THOMAS DR, STE 125, FT MILL, SC 29708
(803) 547-7099
(803) 548-5383
Mailing address
PO BOX 3327, FT MILL, SC 29708
(803) 547-7099
(803) 548-5383
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6244
SC
Other
Enumeration date
12/12/2006
Last updated
02/06/2013
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