Individual
ALICE M WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LPC
Contact information
Practice address
106 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8108
(843) 873-5063
Mailing address
106 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-1261
SC
104100000X
Social Worker
Primary
LMSW-1061
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
05
—
190166
—
SC
Enumeration date
03/13/2007
Last updated
07/24/2008
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