Individual
MRS. DEBORAH J. WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2101 DUTCH FORK RD, CHAPIN, SC 29036-7576
(910) 338-2885
(868) 626-0412
Mailing address
PO BOX 287, GREENVILLE, SC 29602-0287
(864) 729-8330
(864) 751-0479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11130
SC
1041C0700X
Clinical Social Worker
44SC00086600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1222
—
SC
Enumeration date
03/09/2009
Last updated
01/21/2020
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