Jean Ellen Earhart, LCSW
Social Worker, Clinical in Fort Mill, SC. Individual provider (NPI-1).
NPI number1457572943
StatusActive
Last updated in NPPESFeb 28, 2012
Details
- NPI
- 1457572943
- Entity type
- Individual (NPI-1)
- Name
- Jean Ellen Earhart
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2007
- Last updated
- Feb 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C006473 | NC | Yes |
| 1041C0700X | Social Worker, Clinical | 4857335-3501 | UT | |
| 1041C0700X | Social Worker, Clinical | 9655 | SC |
Practice location
221 Grier StFort Mill, SC 29715-1630
Phone 704-804-4304
Mailing address
221 Grier StFort Mill, SC 29715-1630
Phone 704-804-4304
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