Individual
MISS MACI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12836
LMSW
SC
Enumeration date
04/14/2021
Last updated
05/12/2021
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