Most Relevant Information
Provider Data
| NPI Number: | 1003245234 |
| Provider Name: | JEFFREY ANTIOHO MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 10331 |
Most Important Dates
| Enumeration Date: | 11/07/2013 |
| Last Updated: | 11/07/2013 |
Provider Practice Location
4017 HIGHWAY 17
MURRELLS INLET
SC
295765032
Practice Location Phone/Fax
| Phone: | 8436859228 |
| Fax: |
Provider Mailing Location
1108 PRESTON PL
MURRELLS INLET
SC
295767573
Provider Mailing Phone/Fax
| Phone: | 8433570217 |
| Fax: |