Individual
LISA AMODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, LCSW-R
Contact information
Practice address
5110 FAIRFIELD RD, COLUMBIA, SC 29203-4323
(803) 893-7019
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
054268
NY
1041C0700X
Clinical Social Worker
Primary
12095
SC
Other
Enumeration date
05/24/2005
Last updated
09/13/2024
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