Individual
JEREMY R MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
105 SUMMERWOOD WAY, AIKEN, SC 29803-7713
(803) 753-7175
Mailing address
740 MAPLE ST, AIKEN, SC 29803-5442
(803) 646-1723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12443
SC
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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