Individual
MRS. JACKIE HENNAGAN-GADSDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2018 TAYLOR ST, COLUMBIA, SC 29204-1006
(803) 708-4712
(803) 708-4718
Mailing address
PO BOX 2741, COLUMBIA, SC 29202-2741
(803) 708-4712
(803) 708-4718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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