Individual
KYNESHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
7901 4TH ST N STE 4000, ST PETERSBURG, FL 33702-4305
(404) 981-5004
Mailing address
PO BOX 248, MAYESVILLE, SC 29104-0248
(404) 981-5004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13386
SC
104100000X
Social Worker
Primary
15703
SC
Other
Enumeration date
11/24/2022
Last updated
09/06/2023
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