Individual
MISS LIBBY VANESSA CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1800 COLONIAL DR # A, COLUMBIA, SC 29203-6827
(803) 898-1555
(803) 898-2194
Mailing address
1332 CORLEY FORD RD, COLUMBIA, SC 29203-9713
(808) 714-7199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23
SC
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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