Individual
NANCY RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3 SUMMIT TER, COLUMBIA, SC 29229-7639
(803) 736-1578
Mailing address
317 MANCHESTER DR, MANNING, SC 29102-2314
(803) 460-9181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4652
SC
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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