Individual
MRS. TABITHA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
187 DERBY DR, WEST COLUMBIA, SC 29170-3306
(803) 466-5956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
004619
GA
104100000X
Social Worker
Primary
7218
SC
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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