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1194024778
LISA MARIA SMALLWOOD
SUMTER, SC
NPI
1194024778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 5061)
Enumeration Date
2011-03-21
Last Update Date
2011-03-21
Business Address
-- LISA MARIA SMALLWOOD LPC,CAC II, NCAC
5422 PINEFIELD RD
SUMTER, SC 29154-1020
Phone number: 803-316-0402
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Mailing Address
-- LISA MARIA SMALLWOOD LPC,CAC II, NCAC
5422 PINEFIELD RD
SUMTER, SC 29154-1020
Phone number: 803-316-0402
Copy
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