Individual
MARY-MICHAEL HANBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
61 RIVERWALK BLVD STE H, RIDGELAND, SC 29936-3252
(843) 636-5017
(843) 278-9198
Mailing address
61 RIVERWALK BLVD STE H, RIDGELAND, SC 29936-3252
(843) 636-5017
(843) 278-9198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11937
SC
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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