Individual
JESSICA CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6456
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18321
MD
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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