Individual
AMY WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 PICKENS ST, COLUMBIA, SC 29201-3430
(803) 771-4160
(803) 771-4367
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW1022
—
SC
Enumeration date
02/25/2014
Last updated
03/19/2014
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