Individual
JULIA CORNELIA THEISZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
400 S MAIN ST STE D, MAULDIN, SC 29662-2251
(864) 720-9037
Mailing address
713 N ADAIR ST, CLINTON, SC 29325-2005
(864) 720-9037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14495
SC
Other
Enumeration date
08/20/2021
Last updated
04/07/2025
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