Individual
TRAVIS MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
(843) 663-8166
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(846) 663-8013
(843) 663-8166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14936
SC
1041C0700X
Clinical Social Worker
LCSW-39232
ID
Other
Enumeration date
04/19/2017
Last updated
08/09/2022
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