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1003465675
SHANE R SMITH
MONCKS CORNER, SC
NPI
1003465675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 12469)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
SHANE R SMITH LMSW
403 STONY LANDING RD
MONCKS CORNER, SC 29461-3967
Phone number: 843-761-8282
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Mailing Address
SHANE R SMITH LMSW
403 STONY LANDING RD
MONCKS CORNER, SC 29461-3967
Phone number: 843-761-8282
Copy
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