Individual
DEBRA ANNE CARNOSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R AND LISW-CP
Contact information
Practice address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Mailing address
361 VINTAGE CIR, MYRTLE BEACH, SC 29579-7132
(315) 405-5703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075494
NY
1041C0700X
Clinical Social Worker
10577
SC
Other
Enumeration date
11/28/2006
Last updated
02/06/2015
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