Individual
CYNTHIA K WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
200 PATEWOOD DR, SUITE A10, GREENVILLE, SC 29615-3593
(864) 455-6444
(864) 455-3095
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6016
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0472
—
SC
Enumeration date
06/10/2006
Last updated
09/05/2013
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