Individual
MRS. SUSAN M CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
130 WHITEFORD CT STE A, LEXINGTON, SC 29072-7828
(803) 808-1800
Mailing address
80 MELROSE PL, PROSPERITY, SC 29127-9108
(847) 302-1945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.009136 LCSW
IL
1041C0700X
Clinical Social Worker
Primary
8435 LISW-CP
SC
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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