Individual
MRS. AYESHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S MERRIMAN RD, GEORGETOWN, SC 29440-3459
(843) 325-4548
Mailing address
158 CRANE DR, PAWLEYS ISLAND, SC 29585-8451
(843) 325-4548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4080
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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