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Individual

JENNIFER WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15369
SC

Other

Enumeration date
08/08/2022
Last updated
08/08/2022
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