MADONNA JEAN LAROCQUE

MYRTLE BEACH, SC
NPI1891449005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  12436)
Enumeration Date2022-02-07
Last Update Date2022-02-07
Business Address
MADONNA JEAN LAROCQUE LISW-CP
1604 PHEASANT POINTE CT
MYRTLE BEACH, SC 29588-6299
Phone number: 774-488-4225
Mailing Address
MADONNA JEAN LAROCQUE LISW-CP
1604 PHEASANT POINTE CT
MYRTLE BEACH, SC 29588-6299
Phone number: 774-488-4225