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Individual

CARA BIBEAULT MAZUREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
222 W COLEMAN BLVD STE 105, MOUNT PLEASANT, SC 29464-3591
(803) 542-9159
Mailing address
186 SEVEN FARMS DRIVE, SUITE F BOX 288, DANIEL ISLAND, SC 29492
(803) 542-9159

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
14324
SC

Other

Enumeration date
03/06/2018
Last updated
05/01/2023
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