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Provider Information for 1184824518


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EMILY-ADELE HARVEY LISW-CP(S)


Sex: Female

NPI: 1184824518
Last Updated: 2024-08-06
Certification Date: 2024-08-06

Details

NameValue
NPI1184824518
Enumeration Date2007-07-24
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 60 DEVEREAUX AVE
CHARLESTON, SC 29403-3341
United States

Phone: 843-607-3564 | Fax:
 
Primary Practice Address 109 BEE ST
CHARLESTON, SC 29401-5703
United States

Phone: 843-577-5011 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalSCSW.8881
No 104100000X - Social Worker SCSW.8881