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1871519686
MARITTA JANICE SMITH
CONWAY, SC
NPI
1871519686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 3998)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- MARITTA JANICE SMITH
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- MARITTA JANICE SMITH
1301 MUNN DR
NEW ZION, SC 29111-9439
Phone number: 843-382-3031
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