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1669192985
AMY NICOLE GANN
SUMMERVILLE, SC
NPI
1669192985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 13083)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
AMY NICOLE GANN LISW-CP
204 N CEDAR ST STE 100
SUMMERVILLE, SC 29483-6453
Phone number: 843-821-2480
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Mailing Address
AMY NICOLE GANN LISW-CP
3213 LADSON RD UNIT 1528
LADSON, SC 29456-1783
Phone number: 843-737-1620
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