Individual
SARA PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
124 WHITETAIL RD, SUMMERVILLE, SC 29483-8207
(843) 300-1686
Mailing address
124 WHITETAIL RD, SUMMERVILLE, SC 29483-8207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12797
SC
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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