Kenneth T Cappuccio LLC
NPI #1023295367 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1023295367
- Entity Type
- Organization
- Organization Name
- Kenneth T Cappuccio LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 29, 2008
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 2195 HAYSTACK WAY
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-3276
- Phone
- (908) 447-2913
Authorized Official
- Name
- KENNETH THOMAS CAPPUCCIO
- Title
- PRESIDENT
- Phone
- (908) 447-2913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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