| NPI | 1548701493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L WASHO Licensed Independent Social Worker 803-266-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9066) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2017-03-12 |