Individual
MAKARIOS TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LISW-CP, CAC I
Contact information
Practice address
691 S OAK ST, SENECA, SC 29678
(864) 882-7563
(864) 882-7388
Mailing address
691 S OAK ST, SENECA, SC 29678-3827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17051511
SC
1041C0700X
Clinical Social Worker
Primary
11510
SC
Other
Enumeration date
02/12/2010
Last updated
07/09/2018
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