Individual
MRS. KWANIS S. CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 SIGMA DR STE 300, SUMMERVILLE, SC 29486-7722
(800) 811-0723
Mailing address
513 RICHFIELD WAY, SUMMERVILLE, SC 29486-2490
(404) 593-8866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16393
SC
Other
Enumeration date
04/14/2021
Last updated
09/26/2023
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