Individual
MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4042 WALLOON LN APT 211, SPARTANBURG, SC 29301-6625
(828) 974-6022
Mailing address
4042 WALLOON LN APT 211, SPARTANBURG, SC 29301-6625
(828) 974-6022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106983193
SC
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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