Individual
CHELSEA LEE CRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1930
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
12205
SC
Other
Enumeration date
08/04/2010
Last updated
10/10/2018
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