Individual
MRS. SUE KOBUS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CHADFORD RD, IRMO, SC 29063-2038
(803) 476-4022
Mailing address
1500 CHADFORD RD, IRMO, SC 29063-2038
(803) 476-4022
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
136525
SC
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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