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Individual

AMY CHRIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
340 E MAIN ST STE 102, SPARTANBURG, SC 29302-1987
(864) 707-2167
Mailing address
340 E MAIN ST STE 102, SPARTANBURG, SC 29302-1987

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9795
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9795
SC LLR
SC
Enumeration date
08/23/2018
Last updated
08/23/2018
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