Individual
MRS. ELIZABETH MAZURKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-AP
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-5500
(843) 347-5535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001913
LICENSE NUMBER
SC
Enumeration date
06/08/2006
Last updated
03/09/2011
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