Individual
SCOTT FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
29 LEINBACH DR, CHARLESTON, SC 29407-7071
(843) 501-7001
Mailing address
29 LEINBACH DR, CHARLESTON, SC 29407-7071
(843) 501-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4662
SC
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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