Individual
MRS. KIM M MAUTZ CHARPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
202 SALISBURY DR., SUMMERVILLE, SC 29483
(843) 851-5824
(843) 851-7560
Mailing address
202 SALISBURY DR, SUMMERVILLE, SC 29483-4345
(843) 851-5824
(843) 851-7560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1883
SC
106H00000X
Marriage & Family Therapist
68
SC
Other
Enumeration date
01/11/2007
Last updated
11/06/2008
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