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Individual

MS. SIMONE L ESQUIBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP, MSW, JD

Contact information

Practice address
144 JUNIATA LOOP, LITTLE RIVER, SC 25966
(843) 315-5112
Mailing address
730 MAIN ST # 178, NORTH MYRTLE BEACH, SC 29582-3030
(843) 315-5112

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10123
SC
1041C0700X
Clinical Social Worker
C007946
NC
1041C0700X
Clinical Social Worker
I-06326
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36877573
NM
05
SW1170
SC
Enumeration date
08/12/2006
Last updated
11/02/2021
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