Individual
MS. BREANNA J LINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12410
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
11/29/2017
Last updated
11/29/2017
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