Individual
MRS. ELISA SPERDUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10341
SC
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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