Individual
OLGA V VERBOVAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 STONY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Mailing address
403 STONY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
15711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
02/22/2023
Last updated
02/22/2023
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