Individual
MS. JILL MOUNT LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
338 W COLUMBIA AVE, BATESBURG LEESVILLE, SC 29006-2028
(803) 532-4423
(803) 532-8000
Mailing address
338 W COLUMBIA AVE, BATESBURG LEESVILLE, SC 29006-2028
(803) 532-4423
(803) 532-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6417
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD35NE
—
SC
Enumeration date
12/11/2007
Last updated
05/11/2023
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