Individual
KEYJA DUVAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 DUKE ST, BEAUFORT, SC 29902-4403
(843) 255-6000
Mailing address
PO BOX 1228, BEAUFORT, SC 29901-1228
(843) 255-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
316
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD61BE
—
SC
Enumeration date
11/09/2018
Last updated
11/09/2018
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