Individual
JEREMY MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
415 RUTHERFORD ST, GREENVILLE, SC 29609-5311
(864) 242-9193
Mailing address
PO BOX 4241, GREENVILLE, SC 29608-4241
(864) 242-9193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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