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1013255983
KELLY HERWIG
IRMO, SC
NPI
1013255983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 9781)
Enumeration Date
2013-01-28
Last Update Date
2016-04-14
Business Address
-- KELLY HERWIG LISW-CP, CAC I, GCDF
9 STAMPORT CT
IRMO, SC 29063-8455
Phone number: 803-351-3652
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Mailing Address
-- KELLY HERWIG LISW-CP, CAC I, GCDF
9 STAMPORT CT
IRMO, SC 29063-8455
Phone number: 803-351-3652
Copy
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