Individual
MRS. ADELINE P. YON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1512 AMELIA ST, ORANGEBURG, SC 29115-6077
(803) 614-9285
Mailing address
1512 AMELIA ST, ORANGEBURG, SC 29115-6077
(803) 614-9285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5576
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
APPLYING FOR MEDICAID NUMBER
SC
Enumeration date
02/25/2012
Last updated
02/25/2012
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