Individual
JATIA SHAQUALA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
226 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-4168
(864) 261-7543
Mailing address
226 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-4168
(864) 261-7543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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