Individual
KELLY HERWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, CAC I, GCDF
Contact information
Practice address
9 STAMPORT CT, IRMO, SC 29063-8455
(803) 351-3652
Mailing address
9 STAMPORT CT, IRMO, SC 29063-8455
(803) 351-3652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9781
SC
Other
Enumeration date
01/28/2013
Last updated
04/14/2016
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