Individual
MRS. ELENA HUTTENLOCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11204
SC
Other
Enumeration date
06/13/2016
Last updated
10/03/2018
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