KENNETH T CAPPUCCIO LLC

MYRTLE BEACH, SC
NPI1023295367
Entity TypeOrganization
Authorized ContactKENNETH THOMAS CAPPUCCIO
President
908-447-2913
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC04533100)
Enumeration Date2008-01-29
Last Update Date2022-09-27
Business Address
KENNETH T CAPPUCCIO LLC
2195 HAYSTACK WAY
MYRTLE BEACH, SC 29579-3276
Phone number: 908-447-2913
Mailing Address
KENNETH T CAPPUCCIO LLC
2195 HAYSTACK WAY
MYRTLE BEACH, SC 29579-3276
Phone number: 908-447-2913