Individual
MRS. JULIE PORTH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP, ATP
Contact information
Practice address
763 DAILEY CREEK RD, SALUDA, SC 29138-7882
(803) 260-6295
Mailing address
763 DAILEY CREEK RD, SALUDA, SC 29138-7882
(803) 260-6295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3470
SC
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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