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Individual

LEAH JESSICA MIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1000 2ND AVE S STE 341, NORTH MYRTLE BEACH, SC 29582-8119
(843) 890-4100
Mailing address
1000 2ND AVE S STE 341, NORTH MYRTLE BEACH, SC 29582-8119
(843) 890-4100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17125
SC

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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