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General NPI Number Information
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NPI Number | 1558573238
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Entity Type | Organization
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Legal Business Name | DENSLOW FAMILY RELATIONS CENTER, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 1001 ANNA KNAPP BLVD.
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City | MT. PLEASANT
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State | SC
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Zip | 29464
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Country | US
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Telephone | 843-884-8511
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2055
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City | MT. PLEASANT
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State | SC
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Zip | 29465
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Country | US
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Telephone | 843-884-8511
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBECCA G. DENSLOW
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Credential | M.S.W.
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Telephone | 843-884-8511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LISW-CP 713
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License Number State | SC
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