Individual
STEPHANIE DURSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LISW-CP
Contact information
Practice address
715 ISLE VERDE DR, MYRTLE BEACH, SC 29579-7168
(631) 599-6177
Mailing address
715 ISLE VERDE DR, MYRTLE BEACH, SC 29579-7168
(631) 599-6177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089903
NY
1041C0700X
Clinical Social Worker
Primary
17746
SC
Other
Enumeration date
07/22/2016
Last updated
02/10/2026
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