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Individual

LYNN ANN REPASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW

Contact information

Practice address
1101 JOHNSON AVE # 134D, MYRTLE BEACH, SC 29577-1893
(843) 232-2435
Mailing address
1101 JOHNSON AVE # 134D, MYRTLE BEACH, SC 29577-1893
(843) 232-2435

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
075327-1
NY
1041C0700X
Clinical Social Worker
0904009755
VA
1041C0700X
Clinical Social Worker
Primary
21165
CA

Other

Enumeration date
11/15/2007
Last updated
09/16/2019
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