Individual
JAZMINE SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 ASHLEY PHOSPHATE RD STE B11, NORTH CHARLESTON, SC 29418-6406
(843) 813-1538
(888) 813-3318
Mailing address
966 GOVERNORS CT, MOUNT PLEASANT, SC 29464-9257
(843) 813-1538
(888) 813-3318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-269792
SC
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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