Individual
MS. TAWANA FAYE PHILPOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
169 ASHLEY AVE # MSC347, CHARLESTON, SC 29425-8905
(843) 792-9675
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8221
(843) 792-9675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12192
SC
Other
Enumeration date
06/07/2018
Last updated
11/08/2019
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