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Individual

SUSAN CONNOLLY-NELSON LISW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
1898 CALHOUN STREET, NUMBER 8 RAINBOW ROW,, COLUMBIA, SC 29201
(803) 256-9700
(803) 256-2519
Mailing address
1898 CALHOUN STREET, NUMBER 8 RAINBOW ROW,, COLUMBIA, SC 29201
(803) 256-9700
(803) 256-2519

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1733
SC

Other

Enumeration date
05/16/2006
Last updated
04/10/2009
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