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Individual

DOLORES S GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 722-4802
Mailing address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 722-4802

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1354
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1354
LICENSE NUMBER
SC
Enumeration date
09/11/2013
Last updated
09/11/2013
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