Individual
MRS. CAROL E. O. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1905 SUNSET BLVD STE C, WEST COLUMBIA, SC 29169
(803) 851-0902
(803) 851-7192
Mailing address
PO BOX 483, GILBERT, SC 29054-0483
(803) 851-0902
(803) 851-7192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6960
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7051
—
SC
05
—
SW1077
—
SC
Enumeration date
08/23/2011
Last updated
11/25/2020
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