Individual
MRS. DONNA MICHELE MAISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
608 16TH AVE N STE G, MYRTLE BEACH, SC 29577-3537
(843) 823-5132
Mailing address
9021 LOGGERHEAD CT, MYRTLE BEACH, SC 29579-5285
(631) 553-0289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13527
SC
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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