Individual
ANDREA JEAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
207 PERRY WILEY WAY, CHESTERFIELD, SC 29709
(843) 544-4060
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
02/17/2020
Last updated
02/17/2020
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