Individual
TAANYA MANNAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
(843) 663-8123
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8009
(843) 663-8158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
067375
NY
1041C0700X
Clinical Social Worker
Primary
1150
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
10/04/2006
Last updated
03/14/2016
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