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Individual

MRS. SARA DAVIS HARTLAUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LISW-CP

Contact information

Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9966
SC
1041C0700X
Clinical Social Worker
C007579
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SW1118
SC
Enumeration date
03/13/2013
Last updated
03/31/2015
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