Individual
LATRICIA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Mailing address
9528 MYERS LN, MYRTLE BEACH, SC 29588-7482
(347) 520-8605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11236
SC
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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