Individual
MRS. PAULETTE COTHREN WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7783 MORRIS BING RD, HOLLYWOOD, SC 29449-5993
(843) 889-3462
Mailing address
PO BOX 39, HOLLYWOOD, SC 29449-0039
(843) 889-3462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2551
SC
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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