Individual
LETTIE PABLO-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
324 ASHWOOD LN, MYRTLE BEACH, SC 29588-6736
(732) 673-3630
Mailing address
324 ASHWOOD LN, MYRTLE BEACH, SC 29588-6736
(732) 673-3630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9425
SC
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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