Individual
TAMMIE POUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11837
SC
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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