Individual
MICHELE ANN BALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1350 CLEVELAND STREET, GREENVILLE, SC 29607
(864) 420-8317
(864) 627-9131
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10138
SC
Other
Enumeration date
03/11/2016
Last updated
04/11/2016
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