Individual
LAQUOSHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
3135 ALPINE DR, GREEN SEA, SC 29545-5155
(843) 340-2307
Mailing address
3135 ALPINE DR, GREEN SEA, SC 29545-5155
(843) 340-2307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7128
SC
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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