Individual
MS. MICHELE BLANCH-BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
201 SIGMA DR STE 334, SUMMERVILLE, SC 29486-7722
(800) 552-4357
(678) 388-9244
Mailing address
1710 TROLLEY RD STE E, SUMMERVILLE, SC 29485-8281
(800) 552-4357
(678) 388-9244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1578
SC
1041C0700X
Clinical Social Worker
Primary
1578 LISW-CP
SC
Other
Enumeration date
11/02/2006
Last updated
05/01/2023
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