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Individual

MS. LORI MICHELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
700 BRUSHY CREEK RD, EASLEY, SC 29642-2200
(864) 306-9661
Mailing address
97 JAMESTOWNE WAY UNIT 82, TAYLORS, SC 29687-4189
(864) 451-3378

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005503
SC
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/06/2019
Last updated
10/02/2019
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