Individual
KRISTY TREADWAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
67 PRESIDENT ST, CHARLESTON, SC 29425-5712
(828) 582-4078
Mailing address
67 PRESIDENT ST, CHARLESTON, SC 29425-5712
(828) 582-4078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16118
SC
1041C0700X
Clinical Social Worker
Primary
C009990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477966638
—
NC
05
—
1477966638
—
SC
Enumeration date
06/05/2014
Last updated
11/29/2023
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