Individual
MRS. AMANDA JOHNSON-LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
Mailing address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC7401
SC
Other
Enumeration date
06/16/2009
Last updated
02/27/2018
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