Individual
DR. CARLENE MCDEARIS WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
422 HAMMOND RD, BELTON, SC 29627-9452
(864) 760-3150
Mailing address
422 HAMMOND RD, BELTON, SC 29627-9452
(864) 760-3150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1989
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386761930
—
SC
Enumeration date
03/26/2007
Last updated
11/13/2015
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