Individual
MRS. STEPHANIE STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
21 GAMECOCK AVE STE E, CHARLESTON, SC 29407-3368
(843) 410-3933
Mailing address
21 GAMECOCK AVE STE E, CHARLESTON, SC 29407-3368
(434) 103-9338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15863
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751163
—
PA
Enumeration date
05/16/2013
Last updated
08/08/2023
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