Individual
BONNIE JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP, PHD
Contact information
Practice address
110 MANLY ST, GREENVILLE, SC 29601-3025
(864) 275-5731
Mailing address
622 HOSPITALITY DR, RANCHO MIRAGE, CA 92270-1312
(864) 275-5731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16945
SC
Other
Enumeration date
04/15/2024
Last updated
05/25/2024
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