Individual
MS. GEORGENNA R. DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
104 CHAMPIONS PT, GREENVILLE, SC 29609-2219
(864) 965-8337
Mailing address
104 CHAMPIONS PT, GREENVILLE, SC 29609-2219
(864) 965-8337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8377
SC
Other
Enumeration date
08/04/2006
Last updated
05/14/2010
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