Individual
VENAE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1822 SALLY HILL FARMS BLVD, FLORENCE, SC 29501-6987
(843) 292-8383
Mailing address
PO BOX 7213, JACKSON, MS 39282-7213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9003
MS
104100000X
Social Worker
MSW009020
GA
Other
Enumeration date
01/15/2021
Last updated
02/01/2022
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