Individual
MS. ZANDRA CHINAE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
411 LONG NEEDLE RD, COLUMBIA, SC 29229-9462
(803) 524-4714
Mailing address
411 LONG NEEDLE RD, COLUMBIA, SC 29229-9462
(803) 524-4714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10782
SC
1041C0700X
Clinical Social Worker
COO7965
NC
Other
Enumeration date
10/08/2012
Last updated
07/27/2022
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