Individual
MARITTA JANICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
1301 MUNN DR, NEW ZION, SC 29111-9439
(843) 382-3031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3998
SC
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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