Individual
KANDICE VAN BEERSCHOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 S MAIN ST, SOCIETY HILL, SC 29593-8972
(843) 378-4501
Mailing address
737 S MAIN ST, SOCIETY HILL, SC 29593-8972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1103
—
SC
Enumeration date
08/25/2006
Last updated
04/09/2013
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