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Individual

MARTHA SKELTON-PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
124 HILLBROOK DRIVE (NOTE: RECEIVE PRACTICE MAIL HERE), (SEE PTS AT HOME &AT CH OFFS- SP'BURG & GAFFNEY, SC), SPARTANBURG, SC 29307-3040
(864) 978-7166
Mailing address
124 HILLBROOK DRIVE, SPARTANBURG, SC 29307-3040
(864) 582-5164

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000754
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000754
SOC. WK (LISW) LICENSE #
SC
Enumeration date
10/04/2006
Last updated
01/03/2012
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