Individual
ELIZABETH HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LMSW
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14157
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
07/23/2018
Last updated
09/30/2021
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