Individual
MS. CAROLYN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 TOMLINSON ST, E-3, KINGSTREE, SC 29556-3744
(910) 843-6899
Mailing address
825 TOMLINSON ST, E-3, KINGSTREE, SC 29556-3744
(910) 843-6899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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