Individual
MS. JAMILLAH MONIQUE SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 N CEDAR ST, SUITE D, SUMMERVILLE, SC 29483-6433
(843) 832-4265
(843) 875-6026
Mailing address
612 RED TIP CIR, FLORENCE, SC 29505-3943
(843) 669-0098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6365
BOARD OF SOCIAL WORK EXAMINERS
SC
Enumeration date
10/24/2012
Last updated
09/20/2013
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