Individual
CHANDLER MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
3265 N CAROLINA AVE, NORTH CHARLESTON, SC 29405-5819
(843) 410-3462
Mailing address
637 WANTOOT BLVD, CHARLESTON, SC 29407-6630
(843) 410-3462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16391
SC
Other
Enumeration date
06/11/2020
Last updated
10/18/2024
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