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1023488582
ETTA SMITH
NORTH CHARLESTON, SC
NPI
1023488582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-28
Last Update Date
2018-06-29
Business Address
ETTA SMITH MAC
2470 MALL DR UNIT CD
NORTH CHARLESTON, SC 29406
Phone number: 843-207-4721
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Mailing Address
ETTA SMITH MAC
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number:
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