Individual
COURTNEY EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 MIDWOOD RD, TRAVELERS REST, SC 29690-1864
(843) 637-9893
Mailing address
164 MIDWOOD RD, TRAVELERS REST, SC 29690-1864
(843) 637-9893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9822
SC
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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