Individual
LATISHA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6974
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9253
SC
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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