Individual
GINA WATSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV LISW CP
Contact information
Practice address
1305 LORING MILL RD, SUMTER, SC 29150
(803) 968-1138
(803) 905-5209
Mailing address
2935 HERMITAGE DR, SUMTER, SC 29150
(803) 968-1138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5329
SC
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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