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Individual

DEBORAH ANN KLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
7724 N KINGS HWY, MYRTLE BEACH, SC 29572-3041
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7136
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LW1007
SC
Enumeration date
08/03/2006
Last updated
03/31/2015
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