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Individual

MONA PATRICIA JAFARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
608 16TH AVE N STE G, MYRTLE BEACH, SC 29577-3537
(843) 823-5132
Mailing address
2674 HIGH BRASS TRL, MYRTLE BEACH, SC 29588-8413
(410) 920-7464

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
07991
MD
1041C0700X
Clinical Social Worker
Primary
14944
SC

Other

Enumeration date
01/18/2007
Last updated
03/15/2022
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