Individual
MISS KATELYN JEAN EMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
2510A WADE HAMPTON BLVD, GREENVILLE, SC 29615-1148
(864) 509-0774
(877) 629-7598
Mailing address
2510A WADE HAMPTON BLVD, GREENVILLE, SC 29615-1148
(864) 509-0774
(877) 629-7598
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13095
SC
1041C0700X
Clinical Social Worker
Primary
15708
SC
Other
Enumeration date
07/22/2019
Last updated
04/15/2024
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