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Individual

GAIL MATTIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
103 RIVER BREEZE DR, CHARLESTON, SC 29407-5662
(843) 814-9707
Mailing address
103 RIVER BREEZE DR, CHARLESTON, SC 29407-5662
(843) 814-9707

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4770
SC

Other

Enumeration date
08/29/2006
Last updated
11/30/2009
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