Individual
FRANK J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-AP/CP
Contact information
Practice address
300 N CEDAR ST, SUMMERVILLE, SC 29483-6433
(843) 832-4265
Mailing address
300 N CEDAR ST, SUMMERVILLE, SC 29483-6433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISW-AP/CP4412
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190166
—
SC
01
—
Q310303334
MEDICARE PTAN
SC
Enumeration date
10/03/2006
Last updated
03/13/2008
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