Individual
PAULETTE HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
200 W NORTH 1ST ST STE B, SENECA, SC 29678-3250
(864) 973-1359
(864) 973-8965
Mailing address
123 LOBLOLLY PINE DR, SENECA, SC 29678-5940
(404) 944-0810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10528
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548683303
—
SC
05
—
1821413980
—
SC
Enumeration date
02/26/2014
Last updated
07/21/2022
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