Individual
MADISON GRACE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(800) 805-6989
Mailing address
308 JAMESBURY RD, CHARLESTON, SC 29492-7813
(484) 886-7738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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