Individual
ERIN THOMPSON WIESENDANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10604
SC
1041C0700X
Clinical Social Worker
C006472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083847248
—
NC
05
—
6007446
—
NC
05
—
SW1210
—
SC
Enumeration date
09/03/2009
Last updated
11/11/2020
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