Individual
MARY ANN WESTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
605 2ND ST E, HAMPTON, SC 29924-3547
(803) 943-2063
Mailing address
PO BOX 1284, 1000 PINE STREET, VARNVILLE, SC 29944-1284
(803) 943-2063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6292
SC
Other
Enumeration date
09/20/2006
Last updated
04/05/2013
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