Individual
STEPHANIE MALIKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 RABON POND DR, COLUMBIA, SC 29223-5866
(803) 878-6022
Mailing address
1041 RABON POND DR, COLUMBIA, SC 29223-5866
(803) 878-6022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
010228
GA
235Z00000X
Speech-Language Pathologist
Primary
7204
SC
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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