Individual
MR. JOHN ANTHONY ROMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
917 BROADWAY ST STE 3, MYRTLE BEACH, SC 29577-3718
(843) 582-7887
(843) 800-0061
Mailing address
917 BROADWAY ST STE 3, MYRTLE BEACH, SC 29577-3718
(843) 582-7887
(843) 800-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11070
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1276
—
SC
Enumeration date
05/12/2014
Last updated
02/21/2017
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