Individual
MS. KAREN ANNE KLICKSTEIN-FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
32 PINCKNEY ST, CHARLESTON, SC 29401-3115
(843) 224-8010
(843) 577-0541
Mailing address
32 PINCKNEY ST, CHARLESTON, SC 29401-3115
(843) 224-8010
(843) 577-0541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4931
SC
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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