Individual
MS. ALEXIS TANENBAUM MANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
728 INLET DR, MT PLEASANT, SC 29464-4905
(843) 991-7872
Mailing address
728 INLET DRIVE, MOUNT PLEASANT, SC 29464-4905
(843) 991-7872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8860
SC
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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