Individual
BIANCA ANQUELLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9460
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13661
SC
1041C0700X
Clinical Social Worker
Primary
112793
TX
Other
Enumeration date
07/02/2020
Last updated
07/15/2025
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