Individual
ANTOINETTE SHANAE NIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
105 INDIGO PLACE CT, WEST COLUMBIA, SC 29172-2698
(803) 974-9415
Mailing address
105 INDIGO PLACE CT, WEST COLUMBIA, SC 29172-2698
(803) 974-9415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14879
SC
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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