WILLIBA BROGDON

SUMTER, SC
NPI1467820803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies103K00000X Behavior Analyst
171W00000X Contractor
172V00000X Community Health Worker
175T00000X Peer Specialist
Enumeration Date2015-09-02
Last Update Date2015-09-02
Business Address
-- WILLIBA BROGDON
730 BROAD ST C
SUMTER, SC 29150-3356
Phone number: 704-701-0836
Mailing Address
-- WILLIBA BROGDON
730 BROAD ST C
SUMTER, SC 29150-3356
Phone number: 704-701-0836