| NPI | 1770525461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA P. ANDERSON Clinical Social Worker/Owner 843-422-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1055) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-07-20 |