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Individual

ALICIA CATOE EDDINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP, CACI

Contact information

Practice address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
(843) 623-7062
(843) 623-7112
Mailing address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
(843) 623-7062
(843) 623-7112

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1308272
SC
1041C0700X
Clinical Social Worker
Primary
9513
SC

Other

Enumeration date
04/01/2013
Last updated
01/09/2015
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