Individual
SHAMBRICKA NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
501 PELHAM DR, H301, COLUMBIA, SC 29209-1341
(202) 415-9085
Mailing address
501 PELHAM DR, H301, COLUMBIA, SC 29209-1341
(202) 415-9085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50081775
DC
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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