Individual
JOHANNA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW CP&AP
Contact information
Practice address
100 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526
(843) 234-8220
(843) 234-8224
Mailing address
100 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526
(843) 234-8220
(843) 234-8224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6306
SC
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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