Individual
WENDY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
158 HERITAGE VILLAGE LN, COLUMBIA, SC 29212-3557
(803) 528-1416
Mailing address
158 HERITAGE VILLAGE LN, COLUMBIA, SC 29212-3557
(803) 528-1416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4592
SC
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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