Individual
JESSICA RAINEY ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4645 AUGUSTA RD, BEECH ISLAND, SC 29842-7265
(803) 380-7000
Mailing address
1000 CLYBURN PL, AIKEN, SC 29801-4193
(803) 380-7000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12905
SC
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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