Organization
ALLELON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DE QUATTRO (OWNER)
(843) 226-6019
Entity
Organization
Contact information
Practice address
1201 CANVASBACK CT, MT PLEASANT, SC 29464-4278
(843) 226-6019
Mailing address
1201 CANVASBACK CT, MT PLEASANT, SC 29464-4278
(843) 226-6019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10669
SC
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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