Individual
STEPHANIE JAYNE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
Mailing address
1041 DINGER CT, MYRTLE BEACH, SC 29588-5588
(843) 742-0309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11013
SC
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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