Individual
AMY A NIENHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, MSW
Contact information
Practice address
3050 LEAPHART RD, MT. HEBRON PASTORAL COUNSELING CENTER, WEST COLUMBIA, SC 29169
(803) 791-0495
Mailing address
39 HARVEST MOON CT, BLYTHEWOOD, SC 29016-9228
(803) 754-0267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5045
SC
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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