MR. Kenneth Thomas Cappuccio, LCSW
NPI #1073674776 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1073674776
- Entity Type
- Individual
- Name
- MR. Kenneth Thomas Cappuccio, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 13, 2006
- 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
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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