Individual
MRS. ELIZABETH CLARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
2346 PLEASANT RD, FORT MILL, SC 29708-9216
(803) 835-0090
Mailing address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10066
NC
Other
Enumeration date
10/31/2011
Last updated
05/24/2013
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