Individual
JEAN ELLEN EARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 GRIER ST, FORT MILL, SC 29715-1630
(704) 804-4304
Mailing address
221 GRIER ST, FORT MILL, SC 29715-1630
(704) 804-4304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4857335-3501
UT
1041C0700X
Clinical Social Worker
9655
SC
1041C0700X
Clinical Social Worker
Primary
C006473
NC
Other
Enumeration date
05/01/2007
Last updated
02/28/2012
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