Individual
MRS. ELIZABETH ANN SURRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
205 PIEDMONT BLVD, ROCK HILL, SC 29732-1836
(803) 366-4848
(803) 325-9598
Mailing address
3601 PLEASANT RD, FORT MILL, SC 29708-9327
(803) 366-4848
(803) 325-9598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QMO740
—
SC
Enumeration date
03/27/2009
Last updated
03/27/2009
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