Individual
SAMANTHA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1500 BUS US-17 S, STE 201, SURFSIDE BEACH, SC 29575
(843) 865-6912
Mailing address
614 4TH AVE N, SURFSIDE BEACH, SC 29575-3913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16439
SC
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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